Summary
Pericardiectomy is performed for a wide variety of pericardial diseases including
relapsing pericarditis, effusive-constrictive pericarditis, and chronic constriction.
In each of these conditions, we prefer complete pericardiectomy with removal of the
anterior and diaphragmatic pericardium. Tricuspid regurgitation (TR) and radiation-induced
disease present special challenges. Surgical outcomes depend on the underlying pathology,
degree of preoperative disability, and associated cardiac and systemic diseases.
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References
- Pericardiectomy vs medical management in patients with relapsing pericarditis.Mayo Clin Proc. 2012; 87: 1062-1070https://doi.org/10.1016/j.mayocp.2012.05.024
Calderon-Rojas R, Schaff HV. Pericardial Diseases. In: Raja SG, ed. Cardiac Surgery: A Complete Guide. Springer International Publishing; 2020:703-716. doi:10.1007/978-3-030-24174-2_77
- Surgical management of effusive pericardial disease. Influence of extent of pericardial resection on clinical course.J Thorac Cardiovasc Surg. 1985; 90: 506-516https://doi.org/10.1016/S0022-5223(19)38563-0
- Experience With Pericardiectomy for Constrictive Pericarditis Over Eight Decades.Ann Thorac Surg. 2017; 104: 742-750https://doi.org/10.1016/j.athoracsur.2017.05.063
- Tricuspid Valve Regurgitation in Patients Undergoing Pericardiectomy for Constrictive Pericarditis.Semin Thorac Cardiovasc Surg. 2020; 32: 721-728https://doi.org/10.1053/j.semtcvs.2020.03.003
Article info
Publication history
Accepted:
January 30,
2023
Received in revised form:
January 27,
2023
Received:
December 15,
2022
Publication stage
In Press Journal Pre-ProofFootnotes
Funding: None to declare.
Disclosures: None to declare.
Identification
Copyright
© 2023 Published by Elsevier Inc. on behalf of the Canadian Cardiovascular Society.
