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Surgical Treatment of Constrictive Pericarditis

Depboylu, Burak Can
Vistarini, Nicola
El-Hamamsy, Ismail
Published in Texas Heart Institute Journal. 2017, vol. 44, no. 2, p. 101-106
Abstract Constrictive pericarditis is the final stage of a chronic inflammatory process characterized by fibrous thickening and calcification of the pericardium that impairs diastolic filling, reduces cardiac output, and ultimately leads to heart failure. Transthoracic echocardiography, computed tomography, and cardiac magnetic resonance imaging each can reveal severe diastolic dysfunction and increased pericardial thickness. Cardiac catheterization can help to confirm a diagnosis of diastolic dysfunction secondary to pericardial constriction, and to exclude restrictive cardiomyopathy. Early pericardiectomy with complete decortication (if technically feasible) provides good symptomatic relief and is the treatment of choice for constrictive pericarditis, before severe constriction and myocardial atrophy occur. We describe our surgical approach to constrictive pericarditis, summarize our results in 93 patients, and provide a brief overview of the literature.
Keywords Cardiac CatheterizationHumansPericardiectomy/adverse effectsPericarditisConstrictive/diagnostic imaging/mortality/physiopathology/surgeryPredictive Value of TestsRecovery of FunctionTreatment OutcomeVentricular Function
PMID: 28461794
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Article (Published version) (774 Kb) - public document Free access
Research groups L'athérosclérose et ses complications cliniques (591)
Recherche cardiovasculaire et de propulsion hémodynamique (1009)
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DEPBOYLU, Burak Can et al. Surgical Treatment of Constrictive Pericarditis. In: Texas Heart Institute Journal, 2017, vol. 44, n° 2, p. 101-106. doi: 10.14503/THIJ-16-5772 https://archive-ouverte.unige.ch/unige:112324

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Deposited on : 2018-12-14

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