Key result
Pericardiectomy via midline sternotomy is associated with ~11% early mortality.
Why the study?
What are the long-term survival and safety outcomes of pericardiectomy via midline sternotomy in patients with pericardial disease?
Cohort (n=105)
What are the long-term survival and safety outcomes of pericardiectomy via midline sternotomy in patients with pericardial disease?
Pericardiectomy via midline sternotomy is a safe procedure that provides acceptable long-term survival for patients with pericardial disease of various etiologies.
Answers are grounded in this paper and cite their sources.
Offers survival benchmarks for pericardiectomy in pericardial disease; leaves open randomized comparisons of approaches.
A retrospective analysis of the records of 105 patients who underwent pericardiectomy from 1983 to 1993 was performed. Primarily, 40 patients (38%) had tuberculosis, 16 patients (15%) a malignancy, 12 patients (11.4%) uremia, and 11 patients (10.5%) had rheumatic disorders. Pericardiectomy was performed through midline sternotomy in all cases, 9 of them required cardiopulmonary bypass. On operation, the anterior pericardium was excised parallel to the phrenic nerves on both side. The early mortality rate was 10.5% (11 patients). Mean follow-up time was 5.8 +/- 2.1 years, ranging from 1 year to 11 years. Actuarial survival of the patients at 1 year and 5 years were 81.1% +/- 6.8% and 63.5% +/- 8.2%, respectively. We conclude that pericardiectomy using midline sternotomy with or without cardiopulmonary bypass can be performed safely and can lead to good functional results and long-term survival.
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Arsan et al. (1994) conducted a cohort in Pericardial disease requiring pericardiectomy (n=105). Pericardiectomy was evaluated on Early mortality. Pericardiectomy using midline sternotomy was associated with an early mortality rate of 10.5% and actuarial survival of 81.1% at 1 year and 63.5% at 5 years.
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