Outcome of Pericardiectomy for Constrictive Pericarditis: Single Center Experience

Ehab Mohamed Kasem; Osama Saber Eldib

doi:doi:10.11648/j.ijcts.20220802.11

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Outcome of Pericardiectomy for Constrictive Pericarditis: Single Center Experience

Ehab Mohamed Kasem, Osama Saber Eldib

Published in International Journal of Cardiovascular and Thoracic Surgery (Volume 8, Issue 2)

Received: 24 December 2021 Accepted: 14 March 2022 Published: 23 March 2022

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Abstract

Background. Constrictive pericarditis is a rare chronic inflammatory disease that impairs diastolic filling, reduces cardiac output, and ultimately leads to heart failure. TB and post-pericardiotomy and idiopathic are the commonest causes. Multimodality imaging are essential for confirming the diagnosis Trans-thoracic echocardiography is the golden method of diagnosis. Computed tomography is another confirmatory diagnostic tool of pericardial thickness. Right side heart Cath and magnetic resonance imaging help in diagnosis of constrictive pericarditis from restrictive cardiomyopathy and confirm diastolic filling dysfunction of the heart. Pericardiectomy is the mainstay therapy, should be early and complete if feasible to provide symptoms relieve and adequate outcome Patients and methods. We retrospectively review medical records of 13 patients operated for pericardiectomy for constrictive pericarditis. Demographic and perioperative data were analyzed. Results. The mean age of patients was 49.9±7.8 years. All of our patients were symptomatic (NYHA class II-IV) with 7 months median duration of symptoms. TB was the commonest cause. Complete pericardiectomy was achieved in 11 patients (84.6%). Cardiopulmonary bypass was conducted in 5 patients (4 for associated cardiac procedure and one for repair of IVC injury). NYHA class improved to class I in 9 patients (75%). We had one case (7.6%) of mortality. The cause of death was sepsis and respiratory failure. Conclusion. Phrenic to phrenic pericardiectomy without bypass is safe and effective for treating constrictive pericarditis.

Published in	International Journal of Cardiovascular and Thoracic Surgery (Volume 8, Issue 2)
DOI	10.11648/j.ijcts.20220802.11
Page(s)	12-16
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2022. Published by Science Publishing Group

Keywords

Constrictive Pericarditis, Etiology, Diagnosis, Pericardiectomy

References

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APA Style

Ehab Mohamed Kasem, Osama Saber Eldib. (2022). Outcome of Pericardiectomy for Constrictive Pericarditis: Single Center Experience. International Journal of Cardiovascular and Thoracic Surgery, 8(2), 12-16. https://doi.org/10.11648/j.ijcts.20220802.11

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ACS Style

Ehab Mohamed Kasem; Osama Saber Eldib. Outcome of Pericardiectomy for Constrictive Pericarditis: Single Center Experience. Int. J. Cardiovasc. Thorac. Surg. 2022, 8(2), 12-16. doi: 10.11648/j.ijcts.20220802.11

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AMA Style

Ehab Mohamed Kasem, Osama Saber Eldib. Outcome of Pericardiectomy for Constrictive Pericarditis: Single Center Experience. Int J Cardiovasc Thorac Surg. 2022;8(2):12-16. doi: 10.11648/j.ijcts.20220802.11

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@article{10.11648/j.ijcts.20220802.11,
  author = {Ehab Mohamed Kasem and Osama Saber Eldib},
  title = {Outcome of Pericardiectomy for Constrictive Pericarditis: Single Center Experience},
  journal = {International Journal of Cardiovascular and Thoracic Surgery},
  volume = {8},
  number = {2},
  pages = {12-16},
  doi = {10.11648/j.ijcts.20220802.11},
  url = {https://doi.org/10.11648/j.ijcts.20220802.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcts.20220802.11},
  abstract = {Background. Constrictive pericarditis is a rare chronic inflammatory disease that impairs diastolic filling, reduces cardiac output, and ultimately leads to heart failure. TB and post-pericardiotomy and idiopathic are the commonest causes. Multimodality imaging are essential for confirming the diagnosis Trans-thoracic echocardiography is the golden method of diagnosis. Computed tomography is another confirmatory diagnostic tool of pericardial thickness. Right side heart Cath and magnetic resonance imaging help in diagnosis of constrictive pericarditis from restrictive cardiomyopathy and confirm diastolic filling dysfunction of the heart. Pericardiectomy is the mainstay therapy, should be early and complete if feasible to provide symptoms relieve and adequate outcome Patients and methods. We retrospectively review medical records of 13 patients operated for pericardiectomy for constrictive pericarditis. Demographic and perioperative data were analyzed. Results. The mean age of patients was 49.9±7.8 years. All of our patients were symptomatic (NYHA class II-IV) with 7 months median duration of symptoms. TB was the commonest cause. Complete pericardiectomy was achieved in 11 patients (84.6%). Cardiopulmonary bypass was conducted in 5 patients (4 for associated cardiac procedure and one for repair of IVC injury). NYHA class improved to class I in 9 patients (75%). We had one case (7.6%) of mortality. The cause of death was sepsis and respiratory failure. Conclusion. Phrenic to phrenic pericardiectomy without bypass is safe and effective for treating constrictive pericarditis.},
 year = {2022}
}

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TY  - JOUR
T1  - Outcome of Pericardiectomy for Constrictive Pericarditis: Single Center Experience
AU  - Ehab Mohamed Kasem
AU  - Osama Saber Eldib
Y1  - 2022/03/23
PY  - 2022
N1  - https://doi.org/10.11648/j.ijcts.20220802.11
DO  - 10.11648/j.ijcts.20220802.11
T2  - International Journal of Cardiovascular and Thoracic Surgery
JF  - International Journal of Cardiovascular and Thoracic Surgery
JO  - International Journal of Cardiovascular and Thoracic Surgery
SP  - 12
EP  - 16
PB  - Science Publishing Group
SN  - 2575-4882
UR  - https://doi.org/10.11648/j.ijcts.20220802.11
AB  - Background. Constrictive pericarditis is a rare chronic inflammatory disease that impairs diastolic filling, reduces cardiac output, and ultimately leads to heart failure. TB and post-pericardiotomy and idiopathic are the commonest causes. Multimodality imaging are essential for confirming the diagnosis Trans-thoracic echocardiography is the golden method of diagnosis. Computed tomography is another confirmatory diagnostic tool of pericardial thickness. Right side heart Cath and magnetic resonance imaging help in diagnosis of constrictive pericarditis from restrictive cardiomyopathy and confirm diastolic filling dysfunction of the heart. Pericardiectomy is the mainstay therapy, should be early and complete if feasible to provide symptoms relieve and adequate outcome Patients and methods. We retrospectively review medical records of 13 patients operated for pericardiectomy for constrictive pericarditis. Demographic and perioperative data were analyzed. Results. The mean age of patients was 49.9±7.8 years. All of our patients were symptomatic (NYHA class II-IV) with 7 months median duration of symptoms. TB was the commonest cause. Complete pericardiectomy was achieved in 11 patients (84.6%). Cardiopulmonary bypass was conducted in 5 patients (4 for associated cardiac procedure and one for repair of IVC injury). NYHA class improved to class I in 9 patients (75%). We had one case (7.6%) of mortality. The cause of death was sepsis and respiratory failure. Conclusion. Phrenic to phrenic pericardiectomy without bypass is safe and effective for treating constrictive pericarditis.
VL  - 8
IS  - 2
ER  -

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Author Information

Ehab Mohamed Kasem

Department of Cardiovascular and Thoracic Surgery, University of Zagazig, Sharkia, Egypt
Osama Saber Eldib

Department of Cardiothoracic Surgery, University of Zagazig, Shakiq, Egypt

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APA Style

Ehab Mohamed Kasem, Osama Saber Eldib. (2022). Outcome of Pericardiectomy for Constrictive Pericarditis: Single Center Experience. International Journal of Cardiovascular and Thoracic Surgery, 8(2), 12-16. https://doi.org/10.11648/j.ijcts.20220802.11

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ACS Style

Ehab Mohamed Kasem; Osama Saber Eldib. Outcome of Pericardiectomy for Constrictive Pericarditis: Single Center Experience. Int. J. Cardiovasc. Thorac. Surg. 2022, 8(2), 12-16. doi: 10.11648/j.ijcts.20220802.11

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AMA Style

Ehab Mohamed Kasem, Osama Saber Eldib. Outcome of Pericardiectomy for Constrictive Pericarditis: Single Center Experience. Int J Cardiovasc Thorac Surg. 2022;8(2):12-16. doi: 10.11648/j.ijcts.20220802.11

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@article{10.11648/j.ijcts.20220802.11,
  author = {Ehab Mohamed Kasem and Osama Saber Eldib},
  title = {Outcome of Pericardiectomy for Constrictive Pericarditis: Single Center Experience},
  journal = {International Journal of Cardiovascular and Thoracic Surgery},
  volume = {8},
  number = {2},
  pages = {12-16},
  doi = {10.11648/j.ijcts.20220802.11},
  url = {https://doi.org/10.11648/j.ijcts.20220802.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcts.20220802.11},
  abstract = {Background. Constrictive pericarditis is a rare chronic inflammatory disease that impairs diastolic filling, reduces cardiac output, and ultimately leads to heart failure. TB and post-pericardiotomy and idiopathic are the commonest causes. Multimodality imaging are essential for confirming the diagnosis Trans-thoracic echocardiography is the golden method of diagnosis. Computed tomography is another confirmatory diagnostic tool of pericardial thickness. Right side heart Cath and magnetic resonance imaging help in diagnosis of constrictive pericarditis from restrictive cardiomyopathy and confirm diastolic filling dysfunction of the heart. Pericardiectomy is the mainstay therapy, should be early and complete if feasible to provide symptoms relieve and adequate outcome Patients and methods. We retrospectively review medical records of 13 patients operated for pericardiectomy for constrictive pericarditis. Demographic and perioperative data were analyzed. Results. The mean age of patients was 49.9±7.8 years. All of our patients were symptomatic (NYHA class II-IV) with 7 months median duration of symptoms. TB was the commonest cause. Complete pericardiectomy was achieved in 11 patients (84.6%). Cardiopulmonary bypass was conducted in 5 patients (4 for associated cardiac procedure and one for repair of IVC injury). NYHA class improved to class I in 9 patients (75%). We had one case (7.6%) of mortality. The cause of death was sepsis and respiratory failure. Conclusion. Phrenic to phrenic pericardiectomy without bypass is safe and effective for treating constrictive pericarditis.},
 year = {2022}
}

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TY  - JOUR
T1  - Outcome of Pericardiectomy for Constrictive Pericarditis: Single Center Experience
AU  - Ehab Mohamed Kasem
AU  - Osama Saber Eldib
Y1  - 2022/03/23
PY  - 2022
N1  - https://doi.org/10.11648/j.ijcts.20220802.11
DO  - 10.11648/j.ijcts.20220802.11
T2  - International Journal of Cardiovascular and Thoracic Surgery
JF  - International Journal of Cardiovascular and Thoracic Surgery
JO  - International Journal of Cardiovascular and Thoracic Surgery
SP  - 12
EP  - 16
PB  - Science Publishing Group
SN  - 2575-4882
UR  - https://doi.org/10.11648/j.ijcts.20220802.11
AB  - Background. Constrictive pericarditis is a rare chronic inflammatory disease that impairs diastolic filling, reduces cardiac output, and ultimately leads to heart failure. TB and post-pericardiotomy and idiopathic are the commonest causes. Multimodality imaging are essential for confirming the diagnosis Trans-thoracic echocardiography is the golden method of diagnosis. Computed tomography is another confirmatory diagnostic tool of pericardial thickness. Right side heart Cath and magnetic resonance imaging help in diagnosis of constrictive pericarditis from restrictive cardiomyopathy and confirm diastolic filling dysfunction of the heart. Pericardiectomy is the mainstay therapy, should be early and complete if feasible to provide symptoms relieve and adequate outcome Patients and methods. We retrospectively review medical records of 13 patients operated for pericardiectomy for constrictive pericarditis. Demographic and perioperative data were analyzed. Results. The mean age of patients was 49.9±7.8 years. All of our patients were symptomatic (NYHA class II-IV) with 7 months median duration of symptoms. TB was the commonest cause. Complete pericardiectomy was achieved in 11 patients (84.6%). Cardiopulmonary bypass was conducted in 5 patients (4 for associated cardiac procedure and one for repair of IVC injury). NYHA class improved to class I in 9 patients (75%). We had one case (7.6%) of mortality. The cause of death was sepsis and respiratory failure. Conclusion. Phrenic to phrenic pericardiectomy without bypass is safe and effective for treating constrictive pericarditis.
VL  - 8
IS  - 2
ER  -

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