Outcome of Pericardiectomy for Constrictive Pericarditis: Single Center Experience

Background. Constrictive pericarditis is a rare chronic inflammatory disease that impairs diastolic filling, reduces cardiac output, and ultimately leads to heart failure. TB post-pericardiotomy idiopathic are the commonest causes. Multimodality imaging essential for confirming diagnosis Trans-thoracic echocardiography golden method of diagnosis. Computed tomography another confirmatory diagnostic tool pericardial thickness. Right side Cath magnetic resonance help in constrictive from restrictive cardiomyopathy confirm filling dysfunction heart. Pericardiectomy mainstay therapy, should be early complete if feasible provide symptoms relieve adequate outcome Patients methods. We retrospectively review medical records 13 patients operated pericardiectomy pericarditis. Demographic perioperative data were analyzed. Results. The mean age was 49.9±7.8 years. All our symptomatic (NYHA class II-IV) with 7 months median duration symptoms. cause. Complete achieved 11 (84.6%). Cardiopulmonary bypass conducted 5 (4 associated procedure one repair IVC injury). NYHA improved I 9 (75%). had case (7.6%) mortality. cause death sepsis respiratory Conclusion. Phrenic phrenic without safe effective treating