1. Outcomes and Risk Factors Associated with Pericardiectomy in Patients with Constrictive Pericarditis: A Retrospective Study from China.
- Author
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Li B, Dong C, Pan G, Liu R, Tong M, Xu J, and Liu S
- Subjects
- Humans, Retrospective Studies, Male, Middle Aged, Female, Risk Factors, Adult, Treatment Outcome, Time Factors, China epidemiology, Risk Assessment, Aged, Postoperative Complications mortality, Postoperative Complications etiology, Sternotomy adverse effects, Sternotomy mortality, Pericarditis, Constrictive surgery, Pericarditis, Constrictive mortality, Pericarditis, Constrictive physiopathology, Pericarditis, Constrictive diagnostic imaging, Pericardiectomy adverse effects, Pericardiectomy mortality
- Abstract
Purpose: Pericardiectomy is the definitive treatment option for constrictive pericarditis and is associated with a high prevalence of morbidity and mortality. However, information on the associated outcomes and risk factors is limited. We aimed to report the mid-term outcomes of pericardiectomy from a single center in China., Methods: We retrospectively reviewed data collected from patients who underwent pericardiectomy at our institute from April 2018 to January 2023., Results: Eighty-six consecutive patients (average age, 46.1 ± 14.7 years; 68.6 men) underwent pericardiectomy through midline sternotomy. The most common etiology was idiopathic (n = 60, 69.8%), and 82 patients (95.3%) were in the New York Heart Association function class III/IV. In all, 32 (37.2%) patients underwent redo sternotomies, 36 (41.9%) underwent a concomitant procedure, and 39 (45.3%) required cardiopulmonary bypass. The 30-day mortality rate was 5.8%, and the 1-year and 5-year survival rates were 88.3% and 83.5%, respectively. Multivariable analysis revealed that preoperative mitral insufficiency (MI) ≥moderate (hazard ratio [HR], 6.435; 95% confidence interval [CI] [1.655-25.009]; p = 0.007) and partial pericardiectomy (HR, 11.410; 95% CI [3.052-42.663]; p = 0.000) were associated with increased 5-year mortality., Conclusion: Pericardiectomy remains a safe operation for constrictive pericarditis with optimal mid-term outcomes.
- Published
- 2024
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