Chronic constrictive tuberculous pericarditis: risk factors and outcome of pericardiectomy
Abstract:OBJECTIVE: Data on long-term outcome of pericardiectomy are limited. This retrospective study aimed to investigate risk factors and early and late outcomes of pericardiectomy for constrictive tuberculous pericarditis.
DESIGN: Seventy patients with chronic constrictive pericarditis who underwent pericardiectomy between January 1990 and August 2005 were reviewed for perioperative and long-term survival.
RESULTS: Patients (49 males; median age 40 years) had a median duration of symptoms of 24 months (range 8–72) before surgery. Perioperative mortality was 8.6%. During follow-up (mean 66.4 ± 56.4), late mortality rates at 5 and 10 years were 1.6% and 9.7%, respectively. The mean censored survival in all patients was 155.2 months (SEM 8.3, 95%CI 138.8–171.6). Readmission-free survival was 68.6% over 10 years (mean 125.4 months, SEM 10.3, 95%CI 105.2–145.6). Ascites and duration of symptoms were found to be predictors of perioperative mortality (P = 0.047 and 0.036, respectively).
CONCLUSIONS: The optimal time of pericardiectomy is most important in its management. Total or near-total pericardiectomy should always be performed as early as possible.
Document Type: Regular Paper
Affiliations: 1: Department of Cardiovascular Surgery, Dr Siyami Ersek Cardiovascular and Thoracic Surgery Centre, Istanbul, Turkey 2: Department of Cardiovascular Surgery, University of Istanbul, Istanbul Medical Faculty, Istanbul, Turkey 3: Department of Cardiovascular Surgery, Maltepe University, Maltepe Medical Faculty Hospital, Istanbul, Turkey
Publication date: 2006-06-01
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