Hemodynamic Studies Following Pericardiectomy for Constrictive Pericarditis

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Hemodynamic studies following pericardiectomy for constrictive pericarditis.

PERICARDIECTOMY for constrictive pericarditis was first successfully performed just over 50 years ago' and has subsequently become the accepted definitive method of treatment. Postoperative clinical evaluations during this time have indicated good to excellent results in the majority of patients.2 8 Despite the wide use of cardiac catheterization in the preoperative evaluation of patients with ...

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Pericardiectomy for constrictive pericarditis.

Pericardiectomy is well recognized as a logical and rewarding form of treatment for constrictive pericarditis. The historical background of the operation has been fully described by Sellors (1946) and it is not felt that the series of cases to be presented here has anything to add to the clinical picture of constrictive pericarditis so fully described by Evans and Jackson (1952). There are cert...

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Serial Semi-invasive Hemodynamic Assessment following Pericardiectomy for Chronic Constrictive Pericarditis

OBJECTIVES This study was designed to prospectively investigate the effects of pericardiectomy via median sternotomy on intra- and postoperative hemodynamics by a new semi-invasive device (Flotrac/VigileoTM monitor) using arterial pressure waveform analysis. PATIENTS AND METHODS Thirty consecutive patients aged 15 to 55 years (mean+SD, 31.73 + 13.53 years), who had undergone total pericardiec...

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Constrictive Pericarditis: Serial Hemodynamic Studies

A new explanation for certain instances of acute reversible congestive phenomena in constrictive pericarditis is offered on the basis of 6 patients studied clinically and by right heart catheterization. In 2 cases intermittent tamponade in the presence of a rigid pericardiuma accounted for the reversibility of the congestive state, as contrasted with 4 cases presenting the chronic progressive c...

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Natural History of Echocardiographic and Hemodynamic Changes Following Isolated Pericardiectomy for Constrictive Pericarditis

Results We identified a cohort of 355 patients. Median age at operation was 62 (range 18-84) and 282 (79%) were male. Median pre-operative NYHA Functional class was III and 300/356 (84%) patients were in class III/IV. All patients underwent isolated pericardiectomy; early mortality was 2.5%. During median follow-up of 29 months (max 20.5 yr), 507 echocardiograms were reviewed for tricuspid regu...

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ژورنال

عنوان ژورنال: Circulation

سال: 1965

ISSN: 0009-7322,1524-4539

DOI: 10.1161/01.cir.32.3.415