Abstract | PURPOSE OF REVIEW: RECENT FINDINGS: Anterior phrenic to phrenic resection without the use of cardiopulmonary bypass has been performed in many centers. This approach achieves improvement in symptoms; however, there are patients who have progressive constriction of the remaining pericardium requiring a completion pericardiectomy. Recent studies show that the survival and functional outcome is superior after a complete pericardiectomy. Our approach is to perform a complete pericardiectomy using cardiopulmonary bypass. In experienced centers, the outcomes have significantly improved with careful selection of patients, advances in pre- and postoperative care, and refinement in surgical techniques.
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Authors | Shinya Unai, Douglas R Johnston |
Journal | Current cardiology reports
(Curr Cardiol Rep)
Vol. 21
Issue 2
Pg. 6
(02 12 2019)
ISSN: 1534-3170 [Electronic] United States |
PMID | 30747309
(Publication Type: Journal Article, Review)
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Topics |
- Cardiac Surgical Procedures
- Cardiopulmonary Bypass
- Humans
- Pericardiectomy
- Pericarditis
(surgery)
- Pericarditis, Constrictive
(diagnosis, surgery)
- Pericardium
(surgery)
- Postoperative Care
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