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Early Operative Result of Pericardiectomy for Constrictive Pericarditis Shun-ichi Watanabe 1 , Shinji Shimokawa 1 , Masafumi Yamashita 2 , Yukinori Moriyama 2 , Yoshifumi Iguro 2 , Hiroshi Masuda 2 , Tamahiro Kinzyoh 2 , Hitoshi Toyohira 2 , Akira Taira 2 1Second Department of Surgery, Kagoshima University School of Medicine 2National Minami Kyushu Chuoh Hospital Keyword: 収縮性心膜炎 , 予後 , 心膜切除術 , constrictive pericarditis , operative results , pericardiectomy pp.1155-1159
Published Date 1999/11/15
DOI https://doi.org/10.11477/mf.1404901999
  • Abstract
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 Early operative results of pericardiectomy for constrictive pericarditis was studied. Fourteen patients were studied. They consisted of 6 of unknown etiology, 3 with tuberculosis, 2 with mesothelioma, and 1 each ofpost cardiac surgery, chronic renal failure and collagen disease. The 13 patients who survived were divided into improved (n=6) and not-improved groups (n=7). Hemodynamic changes and preoperative factors (patient-related factors and laboratory data) in these 2 groups were compared. The influence of cardiopulmonary bypass was also evaluated. The immediate postoperative relief was maintained in the improved group, but central venous pressure (CVP) was re-elevated at discharge in the not-improved group. Pericardial effusion and elevation of CRP level were found only in the not-improved group. The usefulness of cardiopulmonary bypass in the early stage was not able to be clarified. The etiology of the diseases involved and preoperative inflammation due to pericarditis influenced the early postoperative result. Therefore, early pericardiectomy should be accompanied by considerable use of anti-inflammatory regimens.


Copyright © 1999, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1200 印刷版ISSN 0452-3458 医学書院

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