##common.pageHeaderLogo.altText##

Vol. 4 No. 1 (2024)

Results of Surgical Treatment of Post-Tuberculous Constrictive Pericarditis

Clinical Medicine And Health Research Journal, Vol. 4 No. 1 (2024), 21 February 2024 , Page 798-800
https://doi.org/10.18535/cmhrj.v4i1.317

Abstract

Objectives : To evaluate the results of surgical treatment of post-tuberculous constrictive pericarditis.


Materials and methods: This was a retrospective study of 08 cases of constrictive pericarditis of tuberculous origin observed between January 2015 and december 2019. These patients presented with right (3 cases) or bilateral (5 cases) adiastolism. All patients underwent subtotal pericardectomy by vertical median sternotomy.


Results : There were no early deaths. Non-fatal complications included 3 cases of haemorrhage from a wound in the right atrium. The mean length of stay in intensive care was 2 +/- 0.5 days and the mean length of hospitalisation was 10 +/- 2 days.


None of the 08 patients was lost to follow-up. After a mean follow-up of 28 +/- 6 months, 06 are currently at NYHA functional stage I (75%) and 02 at stage II (25%); the mean cardio thoracic ratio had become 0.58 +/- 0.2.


Conclusion : Pericardectomy remains the only life-saving procedure for any patient at the stage of constrictive pericarditis.

Keywords:
  • Constrictive pericarditis - Pericardectomy - Tuberculosis.

How to Cite

Boudiaf, E. ., abdelbaki, M. ., & AMRANE., M. . (2024). Results of Surgical Treatment of Post-Tuberculous Constrictive Pericarditis. Clinical Medicine And Health Research Journal, 4(1), 798–800. https://doi.org/10.18535/cmhrj.v4i1.317

Download Citation

References

  • CHEN RF, LAI CP. Clinical characteristics and treatment of constrictive pericarditis in Taiwan. Can JCardiol. 2005 ;21:185-7.
  • STRANG JI, NUNN AJ, JOHNSON DA, CASBARD A, GIBSON DG, GIRLING DJ. Management of tuberculous constrictive pericarditisand tuberculous pericardial effusion in Transkei:results at 10 years follow-up. QJM. 2004 ;97:525-35.
  • BOZBUGA N, ERENTUG V, EREN E, et al. Pericardiectomy for Chronic Constrictive Tuberculous Pericarditis Risks and Predictors of Survival. Tex Heart Inst J.2003; 30 : 180-
  • HALEY JH, TAJIK AJ, DANIELSON GK, SCHAFF HV, MULVAGH SL, OH JK. Transient constrictive pericarditis: causes and natural history. J Am Coll Cardiol. 2004 ; 43:271-5.
  • CAUMES JL, CHOLET F, RICHECOEUR M, NICOLAS X, BIRE F, BERGEZ C, PEGHINI M, KLOTZ F. Ascites due to constrictive pericarditis. Presse Med. 2005 ; 34:29-31.
  • BERTOG SC, THAMBIDORAI SK, PARAKH K, et al. Constrictive pericarditis : etiology and cause-specific survival after pericardiectomy. J Am Coll Cardiol.2004 ; 43 : 1445-52.
  • TROUGHTON RW, ASHER CR, KLEIN AL. Pericarditis. Lancet. 2004 ; 363 : 717-27.
  • MORSHEDI-MEIBODI A, MENUET R, MCFADDEN M, VENTURA HO, MEHRA MR. Is it constrictive pericarditis or restrictive cardiomyopathy ? A systematic approach. Congest Heart Fail. 2004 ; 10:309 12.
  • KUHL HP, HANRATH P. Acute and chronic constrictive pericarditis. Internist (Berl) : 2004 ;45 :573-84; 585-6.
  • SAGRISTÀ-SAULEDA J, ANGEL J, SÁNCHEZ A, PERMANYER-MIRALDA G, SOLER-SOLER J. Effusive Constrictive Pericarditis. N Engl J, Med.2004 ;350 :469-75
  • SUITA C, SHIRAISHI I, TANAKA T, SHUNTOH K, YAMAGISHI M, HAMAOKA K. Severe heart failure due to subacute effusive constrictive pericarditis in a child. Pediatr Cardiol.2005 ; 26 :101-3.
    • Article Viewed: 0 Total Download

    ##plugins.themes.ojsPlusA.frontend.article.downloadstatastics##

    Cover Image

    Information