ArticleJournal of cardiothoracic surgery2019
Long-term results of radical pericardiectomy for constrictive pericarditis in Korean population.
Article in Journal of cardiothoracic surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.
- Pericardial Diseases: International Position Statement on New Concepts and Advances in Multimodality Cardiac Imaging.JACC. Cardiovascular imaging · 2024Guideline
- Perioperative and Mid-Term Outcomes of Primary Versus Redo Pericardiectomy for Constrictive Pericarditis: A Single-Center Retrospective Cohort Study.Journal of clinical medicine · 2026Article
- Comparative Outcomes of Total Versus Partial Pericardiectomy in Constrictive Pericarditis: A Two-Decade Single-Centre Experience.Interdisciplinary cardiovascular and thoracic surgery · 2026Article
- The Role of High-Mobility Group Box 1/Toll-Like Receptor 4 in Pericardial Fibrosis and Postoperative Low Cardiac Output Syndrome in Constrictive Pericarditis.Cardiology research · 2026Article
- Review
- Impact of preoperative clinical and imaging factors on post-pericardiectomy outcomes in chronic constrictive pericarditis patients.Scientific reports · 2024Article
- Right ventricular dysfunction after pericardiectomy for tuberculous constrictive pericarditis: A case report.Clinical case reports · 2024Article
- Effect of Levosimendan on Low Cardiac Output Syndrome After Pericardiectomy.Therapeutics and clinical risk management · 2024Article
- A Review of the Surgical Treatment for Constrictive Pericarditis.ARYA atherosclerosis · 2023Review
- Impact of concomitant coronary artery bypass grafting on postoperative outcomes in patients undergoing pericardiectomy: A 33-year experience.JTCVS open · 2023Article
- Predictive value of matrix metalloprotease 9 on surgical outcomes after pericardiectomy.Journal of cardiothoracic surgery · 2022Article
- Recurrent Cardiac Constriction after Implantation of an Expanded Polytetrafluoroethylene Surgical Membrane.The Thoracic and cardiovascular surgeon reports · 2022Article
- The optimal duration of anti-tuberculous therapy before pericardiectomy in constrictive tuberculous pericarditis.Journal of cardiothoracic surgery · 2021Article
- Novel Imaging Parameters for Right Ventricular Dysfunction after Pericardiectomy in Constrictive Pericarditis.Journal of cardiovascular imaging · 2021Article
- Fifteen-year experience with pericardiectomy at a tertiary referral center.Journal of cardiothoracic surgery · 2021Article
- Successful Radical Pericardiectomy for Porcelain Constrictive Pericarditis.JACC. Case reports · 2021Article
- A Previously Healthy Teenager with Anasarca.Pediatrics in review · 2021Article
- Predictors of postoperative complication and prolonged intensive care unit stay after complete pericardiectomy in tuberculous constrictive pericarditis.Journal of cardiothoracic surgery · 2020Article
Corrections and comments
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Authors and funding
6 authors at 1 institution in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe extent of pericardiectomy is an important issue in constrictive pericarditis but its impact on long-term outcomes has been rarely reported. We compared long-term results of radical pericardiectomy with conventional phrenic to phrenic pericardiectomy.
methodsNinety patients who underwent pericardiectomies between February 1995 and April 2015 were reviewed retrospectively. They were classified into conventional (n = 37) and radical (n = 53) groups according to pericardiectomy being performed anterior or posterior to the phrenic nerves, respectively. The follow-up duration at outpatient clinic was 37.6 (11.7, 86.6) months and the survival data until 91.6 (54.5, 147.0) months were obtained. The last echocardiographies were done at 22.4 (4.35, 60.85) months.
resultsThe early mortality rate was 4.4% (4/90). They all belonged to the conventional group and died of low cardiac output syndrome. The survival rate was higher in the radical group (P = .032, 74.7 ± 9.2% versus 50.4 ± 11.9% in 20 years). NYHA class of both groups had recovered until the last follow-up but the radical group showed better recovery (P < .001). The conventional pericardiectomy (HR = 6.181; 95% CI (1.042, 36.656)), redosternotomy (HR = 6.441; 95% CI (1.224, 33.889) and preoperative grade of tricuspid regurgitation (HR = 15.003; 95% CI (1.099, 204.894) were associated with late mortality. Right ventricular systolic pressure decreased, and pericardial thickening resolved only in the radical group with significant intergroup differences as time went on. Tricuspid regurgitation worsened after the operation in both groups, but it deteriorated more in the conventional group. However, it improved over time in the radical group.
conclusionsRadical pericardiectomy led to greater improvement in right ventricular systolic pressure and lesser deterioration of tricuspid regurgitation with the passage of time than did the conventional procedure. Conventional pericardiectomy and preoperative higher grade tricuspid regurgitation were associated with long-term mortality.
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