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Radical Pericardiectomy for Pericardial Diseases
Current Cardiology Reports, 2019The surgical management of constrictive pericarditis has evolved from a partial pericardiectomy via a thoracotomy approach to a more extensive removal of the pericardium. This review summarizes the published studies regarding surgical management of pericardial disease, focusing on the surgical technique of radical pericardiectomy for constrictive ...
Shinya Unai
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Pericardiectomy for constrictive pericarditis
The Multimedia Manual of Cardio-Thoracic Surgery, 2020Chronic constrictive pericarditis results from inflammation and fibrosis of the pericardium. This situation eventually leads to impairment of diastolic filling and right heart failure. Once the diagnosis is made, because the disease is basically irreversible, a pericardiectomy is the mandatory treatment.
Davide, Di Lazzaro +4 more
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Experience with Pericardiectomy
The Annals of Thoracic Surgery, 1973Abstract A series of 102 therapeutic pericardiectomies is presented. Although the majority were performed for tuberculosis, those performed in the most recent decade have mainly been for effusion due to a variety of causes. Because of the lower operative mortality (11 vs.
R H, Dean +3 more
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Addisonian Crisis following Pericardiectomy
Cardiovascular Surgery, 1994In developing countries tuberculosis is a common cause of constrictive pericarditis and its Involvement of other organs may sometimes complicate the surgical management of such patients. A case is reported of constrictive pericarditis in which the patient developed protracted hypotension which was unresponsive to inotropic therapy, following ...
S, Shah, A, Shah, E, Bhatia, A K, Ganjoo
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Radical pericardiectomy for pericardial diseases
The Multimedia Manual of Cardio-Thoracic Surgery, 2021Pericarditis is the most common form of pericardial disease. Its exact incidence remains unknown, probably because many cases resolve without diagnosis. Indications for pericardiectomy from the standpoint of the cardiac surgeon are based mainly on the physiopathology of 2 different entities that can overlap: inflammatory or relapsing pericarditis and ...
Gabriele M, Iacona +2 more
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Video-Assisted Subxiphoid Pericardiectomy
Journal of Laparoendoscopic Surgery, 1995We report a case of malignant pericardial effusion with chronic tamponade treated by video-assisted subxiphoid pericardiectomy in a 58-year-old female. The procedure was performed under local anesthesia through a 3.5-cm midline incision over the xiphoid process using a mediastinoscope, a 5-mm telescope connected to the video camera, and an endoscopic ...
A P, Yim, J K, Ho
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Spontaneous “Cardiomegaly” Following Pericardiectomy
Journal of Cardiac Surgery, 2009A 64-year-old woman presented eight days following pericardiectomy with a 2-day history of progressive dyspnea and new crushing chest pain. Chest x-ray revealed development of interval "cardiomegaly." Bedside echocardiography revealed a large accumulation of pericardial fluid despite absence of pericardium. Diagnostic and therapeutic mediastinocentesis
Jeffrey B, Geske, Andrew D, Calvin
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Pericardiectomy: A changing scene
The American Journal of Surgery, 1984The indications for pericardiectomy as well as the causal factors have changed in recent years. Sixty-eight patients operated on at the UCLA Medical Center between 1955 and 1982 have been described. There were 37 male patients and 31 female patients. The indication for operation was acute pericarditis in 37 patients, of whom 31 had recurrent effusion ...
J M, Robertson, D G, Mulder
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Total pericardiectomy for uremic pericarditis
World Journal of Surgery, 1977AbstractBetween 1973 and 1975, 19 patients were treated for uremic pericarditis. The clinical presentation of the condition varied, with some patients having minimal symptoms (chest pain, fever) and others sustaining circulatory collapse. Pericardial friction rub, elevated central venous pressure, and paradoxical pulse were the most common physical ...
R M, Engelman +5 more
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Thoracoscopic pericardiectomy.
Surgical laparoscopy & endoscopy, 1995A new technique for pericardial resection is described using thoracoscopy. With the advent of newer videolaparoscopic techniques allowing better visualization and the use of new endoscopic staplers, a whole spectrum of surgical procedures can now be performed through the thoracoscope.
M, Krasna, M, Fiocco
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