Surgical Management of Pericardial Diseases

Douglas R. Johnston*

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

12 Scopus citations

Abstract

Disease of the pericardium represents a relatively rare indication for cardiac surgery, and there exist no widely accepted guidelines for surgical management. As such, the surgical approach to the pericardium has relied largely on institutional experience with a slow evolution based on published studies. In particular, management of pericardial constriction has varied widely from surgeon to surgeon and institution to institution, in large part due to a perception of inherent high risk to the procedure. This review covers the current practice of surgery for disease of the pericardium, with particular focus on the evolution of indications for pericardiectomy, new applications in inflammatory or relapsing pericarditis, and the progressive refinement in surgical technique and operative planning which have led to significantly improved outcomes in experienced centers.

Original languageEnglish (US)
Pages (from-to)407-416
Number of pages10
JournalProgress in Cardiovascular Diseases
Volume59
Issue number4
DOIs
StatePublished - Jan 1 2017

Keywords

  • Cardiac Surgery
  • Outcomes
  • Pericardial constriction
  • Pericardial window
  • Pericardiectomy
  • Pericarditis

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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