ICVTS Click here to go to Siemens website
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Ravindranath Tiruvoipati
Mahmoud Loubani
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Tiruvoipati, R.
Right arrow Articles by Billa, G. N.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Tiruvoipati, R.
Right arrow Articles by Billa, G. N.
Related Collections
Right arrow Cardiac - other
Interactive Cardiovascular and Thoracic Surgery 2:322-326(2003)
© 2003 European Association of Cardio-Thoracic Surgery

Institutional review - Cardiac general

Surgical approach for pericardiectomy: a comparative study between median sternotomy and left anterolateral thoracotomy

Ravindranath Tiruvoipati*, Ramvatu Devasingh Naik, Mahmoud Loubani and George Nova Billa

Department of Cardiothoracic Surgery, Osmania General Hospital, Hyderabad, Andhra Pradesh, India

* Corresponding author. Department of ECMO, Glenfield Hospital, Groby Road, Leicester, LE3 9QP, UK
travindranath{at}hotmail.com

Pericardiectomy is the definitive treatment for constrictive pericarditis but the best surgical approach remains controversial. In this study we compared the results of pericardiectomy performed on 36 patients with constrictive pericarditis between 1995 and 2001. Pericardiectomy was performed by median sternotomy in 15 patients and by left anterolateral thoracotomy in 21 patients. All patients were reviewed at 6 weeks post operatively. Both groups of patients were similar in age, sex distribution, NYHA shortness of breath status, aetiology, presenting symptoms and duration of symptoms. Mortality was similar in the two groups with three deaths (14.2%) in the thoracotomy group and two deaths (13.3%) in the median sternotomy group. NYHA status improved in both thoracotomy (3.0±0.8 to 1.6±0.7; ) and median sternotomy (2.9±0.7 to 1.5±0.6; ) groups. The degree of improvement was not significant between the two groups (). In addition ionotropic support and postoperative hospital stay were similar between the two groups. There was a higher incidence of wound infections (23.8 versus 6.6%; ) and pulmonary complications (23.8 versus 13.3%; ) associated with thoracotomy. In conclusion pericardiectomy improves NYHA status in all patients and mortality rates are similar in both the approaches.

Key Words: Pericarditis; Pericardiectomy; Median sternotomy; Thoracotomy

HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 2003 European Association for Cardio-thoracic Surgery