Pericardiectomy for Constrictive Pericarditis with or without Cardiopulmonary Bypass

Jing-Bin Huang, Yun-Tian Tang Department of Cardiothoracic Surgery, The People’s Hospital of Guangxi Zhuang Autonomous Region, and Guangxi Academy of Medical Sciences, Nanning, Guangxi, People’s Republic of ChinaCorrespondence: Jing-Bin Huang; Yun-Tian Tang, Tel +86-771-2188205, Fax +86-771-2188214,...

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Main Authors: Huang JB, Tang YT
Format: Article
Language:English
Published: Dove Medical Press 2024-02-01
Series:Vascular Health and Risk Management
Subjects:
Online Access:https://www.dovepress.com/pericardiectomy-for-constrictive-pericarditis-with-or-without-cardiopu-peer-reviewed-fulltext-article-VHRM
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author Huang JB
Tang YT
author_facet Huang JB
Tang YT
author_sort Huang JB
collection DOAJ
description Jing-Bin Huang, Yun-Tian Tang Department of Cardiothoracic Surgery, The People’s Hospital of Guangxi Zhuang Autonomous Region, and Guangxi Academy of Medical Sciences, Nanning, Guangxi, People’s Republic of ChinaCorrespondence: Jing-Bin Huang; Yun-Tian Tang, Tel +86-771-2188205, Fax +86-771-2188214, Email hjb010222@163.com; liangdaxin2023@163.comAim: We aim to access the effect of pericardiectomy for constrictive pericarditis with or without cardiopulmonary bypass.Methods: This was a review of pericardiectomy for constrictive pericarditis.Results: Cardiopulmonary bypass is actually an important maneuver to attain complete relief of the constriction. The short additional time of cardiopulmonary bypass during the procedure has very little effect on the risk of morbidity of the main operation.Conclusion: Incomplete pericardiectomy perhaps was the cause of postoperative remnant constriction and high diastolic filling pressure leading to multiorgan failure. Complete pericardiectomy (removal of phrenic-to-phrenic and the postero-lateral and inferior wall pericardial thickening) using cardiopulmonary bypass should be the routine for total relief of the constriction of the heart.Keywords: pericardiectomy, constrictive pericarditis, cardiopulmonary bypass
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spelling doaj.art-355de1de647f42f3a34e509e37e746f92024-02-08T18:28:26ZengDove Medical PressVascular Health and Risk Management1178-20482024-02-01Volume 20394690309Pericardiectomy for Constrictive Pericarditis with or without Cardiopulmonary BypassHuang JBTang YTJing-Bin Huang, Yun-Tian Tang Department of Cardiothoracic Surgery, The People’s Hospital of Guangxi Zhuang Autonomous Region, and Guangxi Academy of Medical Sciences, Nanning, Guangxi, People’s Republic of ChinaCorrespondence: Jing-Bin Huang; Yun-Tian Tang, Tel +86-771-2188205, Fax +86-771-2188214, Email hjb010222@163.com; liangdaxin2023@163.comAim: We aim to access the effect of pericardiectomy for constrictive pericarditis with or without cardiopulmonary bypass.Methods: This was a review of pericardiectomy for constrictive pericarditis.Results: Cardiopulmonary bypass is actually an important maneuver to attain complete relief of the constriction. The short additional time of cardiopulmonary bypass during the procedure has very little effect on the risk of morbidity of the main operation.Conclusion: Incomplete pericardiectomy perhaps was the cause of postoperative remnant constriction and high diastolic filling pressure leading to multiorgan failure. Complete pericardiectomy (removal of phrenic-to-phrenic and the postero-lateral and inferior wall pericardial thickening) using cardiopulmonary bypass should be the routine for total relief of the constriction of the heart.Keywords: pericardiectomy, constrictive pericarditis, cardiopulmonary bypasshttps://www.dovepress.com/pericardiectomy-for-constrictive-pericarditis-with-or-without-cardiopu-peer-reviewed-fulltext-article-VHRMpericardiectomyconstrictive pericarditiscardiopulmonary bypass.
spellingShingle Huang JB
Tang YT
Pericardiectomy for Constrictive Pericarditis with or without Cardiopulmonary Bypass
Vascular Health and Risk Management
pericardiectomy
constrictive pericarditis
cardiopulmonary bypass.
title Pericardiectomy for Constrictive Pericarditis with or without Cardiopulmonary Bypass
title_full Pericardiectomy for Constrictive Pericarditis with or without Cardiopulmonary Bypass
title_fullStr Pericardiectomy for Constrictive Pericarditis with or without Cardiopulmonary Bypass
title_full_unstemmed Pericardiectomy for Constrictive Pericarditis with or without Cardiopulmonary Bypass
title_short Pericardiectomy for Constrictive Pericarditis with or without Cardiopulmonary Bypass
title_sort pericardiectomy for constrictive pericarditis with or without cardiopulmonary bypass
topic pericardiectomy
constrictive pericarditis
cardiopulmonary bypass.
url https://www.dovepress.com/pericardiectomy-for-constrictive-pericarditis-with-or-without-cardiopu-peer-reviewed-fulltext-article-VHRM
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