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2017 ; 44
(2
): 101-106
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Surgical Treatment of Constrictive Pericarditis
#MMPMID28461794
Depboylu BC
; Mootoosamy P
; Vistarini N
; Testuz A
; El-Hamamsy I
; Cikirikcioglu M
Tex Heart Inst J
2017[Apr]; 44
(2
): 101-106
PMID28461794
show ga
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.