January 1, 1993European Journal of Cardio-Thoracic Surgery
Results of subtotal pericardiectomy for constrictive pericarditis
Key result
Subtotal pericardiectomy for constrictive pericarditis is associated with ~2% operative mortality and high long-term survival.
- n=84
Why the study?
The operative approach to constrictive pericarditis still remains a surgical challenge.
What are the operative mortality and long-term survival outcomes of subtotal pericardiectomy in patients with chronic constrictive pericarditis?
Population
84 patients operated on for chronic constrictive pericarditis
Comparison
Subtotal pericardiectomy through median sternotomy
Design
Retrospective single-center cohort study
Authors
Discussion
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Overview
Supports subtotal pericardiectomy consideration in chronic constrictive pericarditis; leaves open need for randomized confirmation of long-term outcomes.
Key Points
- To evaluate the surgical safety, postoperative morbidity, and long-term survival outcomes of subtotal pericardiectomy via median sternotomy in patients with chronic constrictive pericarditis.
- Retrospective single-center review of 84 consecutive patients (mean symptom duration 20 ± 6 months) operated on between 1979 and 1989.
- Surgical intervention comprised subtotal pericardiectomy extending from phrenic nerve to phrenic nerve (n=75) or palliative pericardial meshing (n=9) through a median sternotomy, with cardiopulmonary bypass required in 4 patients.
- Operative mortality occurred in 2.3% of patients (n=2; septicemia and pulmonary embolism), and early non-lethal complications developed in 8.2% (n=7).
- Post-discharge survival was 94% at 3 years and 87% at 7 years, with 4 late deaths and no reoperations required for recurrent constriction.
Study Design
Type
Observational (n=84)
Multicenter
No
Structured PICO
What are the operative mortality and long-term survival outcomes of subtotal pericardiectomy in patients with chronic constrictive pericarditis?
P
Population
84 patients operated on for chronic constrictive pericarditis at a single institution between 1979 and 1989, with survival followed up to 7 years.
E
Exposure
Subtotal pericardiectomy through median sternotomy
O
Outcome
Operative mortality and long-term survivalhard clinical
Subtotal pericardiectomy for chronic constrictive pericarditis is associated with low operative mortality and excellent long-term survival.
Cite This Study
Nataf et al. (1993) conducted an observational in Chronic constrictive pericarditis (n=84). Subtotal pericardiectomy was evaluated on Operative mortality. Subtotal pericardiectomy for chronic constrictive pericarditis resulted in an operative mortality of 2.3% and a 7-year survival probability of 87%.