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The purpose of this report is to review the outcome of pericardiectomy for constrictive pericarditis and to discuss its problems. Methods: Sixteen consecutive patients who underwent pericardiectomy for constrictive pericarditis in our institution between March 2000 and June 2011 were reviewed. All patients underwent decortication including at least the anterior surface from the right atrium to the left phrenic nerve and the diaphragmatic surface of the heart. The epicardium was concomitantly resectioned because it was usually sclerotic and constrictive. Results: Postoperatively, mean central venous pressure decreased to 8.8 ± 3.1 mmHg and was significantly lower than the preoperative value 15.3 ± 3.7 mmHg (p \u003c 0.001). The mean postoperative duration of hospitalization was 25.6 ± 13.5 days. 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Surgical experience with chronic constrictive pericarditis
http://hdl.handle.net/10069/31820
http://hdl.handle.net/10069/318204f713496-87ba-415a-9485-cfb6e1a260d9
名前 / ファイル | ライセンス | アクション |
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GTCS60_796.pdf (402.5 kB)
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Item type | 学術雑誌論文 / Journal Article(1) | |||||
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公開日 | 2014-01-01 | |||||
タイトル | ||||||
タイトル | Surgical experience with chronic constrictive pericarditis | |||||
言語 | ||||||
言語 | eng | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Constrictive pericarditis | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Therapy | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
資源タイプ | journal article | |||||
著者 |
Ariyoshi, Tsuneo
× Ariyoshi, Tsuneo× Hashizume, Koji× Taniguchi, Shinichiro× Miura, Takashi× Tanigawa, Kazuyoshi× Matsukuma, Seiji× Odate, Tomohiro× Nakaji, Shun× Sumi, Mizuki× Eishi, Kiyoyuki |
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抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | Objective: Constrictive pericarditis is a disease characterized by marked thickening of the pericardium which causes restriction of diastolic cardiac function. The purpose of this report is to review the outcome of pericardiectomy for constrictive pericarditis and to discuss its problems. Methods: Sixteen consecutive patients who underwent pericardiectomy for constrictive pericarditis in our institution between March 2000 and June 2011 were reviewed. All patients underwent decortication including at least the anterior surface from the right atrium to the left phrenic nerve and the diaphragmatic surface of the heart. The epicardium was concomitantly resectioned because it was usually sclerotic and constrictive. Results: Postoperatively, mean central venous pressure decreased to 8.8 ± 3.1 mmHg and was significantly lower than the preoperative value 15.3 ± 3.7 mmHg (p < 0.001). The mean postoperative duration of hospitalization was 25.6 ± 13.5 days. There were 2 in-hospital deaths and early mortality rate was 12.5 %; however, excluding hospital deaths, there were no significant postoperative complications and all survivors recovered and maintained good cardiac function during the mean follow-up period of 3.7 ± 2.8 years. Conclusion: For an acceptable outcome, surgical intervention should be performed at an appropriate time and the pericardiectomy should have proper scope and depth to prevent irreversible changes in the heart, liver, and other organs. | |||||
書誌情報 |
General Thoracic and Cardiovascular Surgery 巻 60, 号 12, p. 796-802, 発行日 2012-12 |
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出版者 | ||||||
出版者 | 日本胸部外科学会 | |||||
出版者別言語 | ||||||
Japanese Association for Thoracic Surgery | ||||||
ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 18636705 | |||||
EISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 18636713 | |||||
DOI | ||||||
関連タイプ | isVersionOf | |||||
識別子タイプ | DOI | |||||
関連識別子 | 10.1007/s11748-012-0129-9 | |||||
権利 | ||||||
権利情報 | © 2012 The Japanese Association for Thoracic Surgery. | |||||
権利 | ||||||
権利情報 | The original publication is available at springerlink.com | |||||
著者版フラグ | ||||||
出版タイプ | AM | |||||
出版タイプResource | http://purl.org/coar/version/c_ab4af688f83e57aa | |||||
引用 | ||||||
内容記述タイプ | Other | |||||
内容記述 | General Thoracic and Cardiovascular Surgery, 60(12), pp.796-802; 2012 |