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American Journal of Advanced Medical & Surgical Research

Volume 2, Issue 1, 2016
Mcmed International
American Journal of Advanced Medical & Surgical Research
Issn
XXX-XXXX (Print), XXXX-XXXX (Online)
Frequency
bi-annual
Email
editorajamsr@mcmed.us
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Abstract
Title
MID-TERM OUTCOME OF SURGERY FOR CHRONIC CONSTRUCTIVE PERICARDITIS: A SINGLE CENTER EXPERIENCE
Author
Pankaj Garg1, Amber Malhotra2, Pranav Sharma3, Ketav Lakhia4, Komal Shah5, Sanjay Patel6
Email
pnkjgarg@yahoo.com
keyword
Cardiac surgery, Coronary angiography, Diaphragmatic and Heart Association
Abstract
We reviewed the records of 45 patients (mean age, 24.35 ± 20.46 yr; range, 21–84 yr) with a diagnosis of constrictive pericarditis who had undergone pericardiectomy from 1994 through 2006. Preoperatively, 5 of the patients (4.4%) were in New York Heart Association (NYHA) functional class I, 38 (44.4%) in class II, 39 (48.9%) in class III, and 4 (2.2%) in class IV. Pericardial calcification was detected in 14% of plain chest radiographs. Constrictive pericarditis was caused by tuberculosis in 32.6%, and chronic renal failure in 2.3%. The cause was idiopathic in 67.4% of the patients. Low-output state was the most common postoperative problem (9.8%). The mean follow-up period was 24 ± 20 months (range, 3–60 month). At three months follow up all our survived patients (n=85) were either in NYHA class I (90.6%) or in class II (9.4%). The overall mortality rate was 1.2%. One patient with tuberculosis died of sepsis early after surgery, and 1 died during follow-up probably due to arrhythmia. Our results show that pericardiectomy remains an effective procedure in the treatment of constrictive pericarditis. Tuberculosis is still an important cause of constrictive pericarditis in India, despite vaccination and use of antitubercular drugs.
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