Pub Date : 2022-01-01DOI: 10.4236/wjcs.2022.129016
V. Hajiyev, T. Erkenov, Elgun Hajiyev, A. Bauer, A. Smechowski, S. Musayev, D. Fritzsche
{"title":"Importance of LV Venting after ECMO Implantation in Post-Cardiotomy Syndrome: A Case Report","authors":"V. Hajiyev, T. Erkenov, Elgun Hajiyev, A. Bauer, A. Smechowski, S. Musayev, D. Fritzsche","doi":"10.4236/wjcs.2022.129016","DOIUrl":"https://doi.org/10.4236/wjcs.2022.129016","url":null,"abstract":"","PeriodicalId":23646,"journal":{"name":"World Journal of Cardiovascular Surgery","volume":"27 6 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78418213","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.4236/wjcs.2022.121001
F. Gharagozloo, M. Meyer
{"title":"Robotic Transthoracic First Rib Resection for Neurogenic Thoracic Outlet Syndrome","authors":"F. Gharagozloo, M. Meyer","doi":"10.4236/wjcs.2022.121001","DOIUrl":"https://doi.org/10.4236/wjcs.2022.121001","url":null,"abstract":"","PeriodicalId":23646,"journal":{"name":"World Journal of Cardiovascular Surgery","volume":"69 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85623211","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.4236/wjcs.2022.122002
Maiga Belco, Sacko Karamoko, Konaté Djéneba, Diakité Abdoul Aziz, D. Adama, Cissé Mohamed Elmouloud, DansoKo Nassira, Traoré Kalilou, T. Pierre, Doumbia Abdou Karim, Traoré Fousseini, Diakité Fatoumata Léonie, Sidibé Lalla, Maiga Leila, A. Ibrahim, Coulibaly Oumar, Diall Hawa, Sylla Mariam
{"title":"Etiological Factors of Infective Endocarditis in Children Aged 1 Month to 15 Years Hospitalised in the Paediatric Department of CHU Gabriel Touré of Bamako (Mali)","authors":"Maiga Belco, Sacko Karamoko, Konaté Djéneba, Diakité Abdoul Aziz, D. Adama, Cissé Mohamed Elmouloud, DansoKo Nassira, Traoré Kalilou, T. Pierre, Doumbia Abdou Karim, Traoré Fousseini, Diakité Fatoumata Léonie, Sidibé Lalla, Maiga Leila, A. Ibrahim, Coulibaly Oumar, Diall Hawa, Sylla Mariam","doi":"10.4236/wjcs.2022.122002","DOIUrl":"https://doi.org/10.4236/wjcs.2022.122002","url":null,"abstract":"","PeriodicalId":23646,"journal":{"name":"World Journal of Cardiovascular Surgery","volume":"72 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90499044","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.4236/wjcs.2022.128013
Hozhan Hussein Blbas, A. M. Hussein, Muhammad Mahmud Salim, Laith Saleh Alkaaby, A. Taha
Background: Cardiac myxomas are the most frequently encountered benign cardiac tumors that if left untreated are inexorably progressive and potential-ly fatal. Surgery is the only way of treatment, and if not treated with the right surgical technique recurrence occurs. Objectives: In this single center study we documented the patterns of presentation, localization, surgical approaches and outcome of cardiac myxomas. Methods: This is a retrospective study of 20 patients who underwent surgical removal of atrial myxoma from January 2010 to December 2015. All patients underwent general investigations, and echocardiography was performed on all patients and surgery was done using extracorporeal circulation and mild hypothermia. Results: The ages of the patients ranged from 14 years to 71 years, with a mean of 51.45 years. Most myxomas (75%) originated from left atrium, 20% from right atrium and bi-atrial in 5% of cases. The male-to-female ratio was 1:2.3 (14 females and 6 males). Myxomas were more common in blood group A+ and Conclusions: Cardiac myxoma excision account for a very small percentage of cardiac procedures. Immediate surgical treatment is indicated because of high risk of embolization and sudden death. Cardiac myxomas can be excised with a low rate of mortality and morbidity. Follow-up examination, including echocardiography, should be performed regularly.
{"title":"Six Years Clinical Experience and Surgical Considerations in Management of Cardiac Myxoma in Iraqi Center for Heart Disease—Single Center Experience","authors":"Hozhan Hussein Blbas, A. M. Hussein, Muhammad Mahmud Salim, Laith Saleh Alkaaby, A. Taha","doi":"10.4236/wjcs.2022.128013","DOIUrl":"https://doi.org/10.4236/wjcs.2022.128013","url":null,"abstract":"Background: Cardiac myxomas are the most frequently encountered benign cardiac tumors that if left untreated are inexorably progressive and potential-ly fatal. Surgery is the only way of treatment, and if not treated with the right surgical technique recurrence occurs. Objectives: In this single center study we documented the patterns of presentation, localization, surgical approaches and outcome of cardiac myxomas. Methods: This is a retrospective study of 20 patients who underwent surgical removal of atrial myxoma from January 2010 to December 2015. All patients underwent general investigations, and echocardiography was performed on all patients and surgery was done using extracorporeal circulation and mild hypothermia. Results: The ages of the patients ranged from 14 years to 71 years, with a mean of 51.45 years. Most myxomas (75%) originated from left atrium, 20% from right atrium and bi-atrial in 5% of cases. The male-to-female ratio was 1:2.3 (14 females and 6 males). Myxomas were more common in blood group A+ and Conclusions: Cardiac myxoma excision account for a very small percentage of cardiac procedures. Immediate surgical treatment is indicated because of high risk of embolization and sudden death. Cardiac myxomas can be excised with a low rate of mortality and morbidity. Follow-up examination, including echocardiography, should be performed regularly.","PeriodicalId":23646,"journal":{"name":"World Journal of Cardiovascular Surgery","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85427873","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.4236/wjcs.2022.126011
Joseph A. Gancayco, Alexander P. Kossar, C. Chiuzan, I. George
Background: Functional mitral regurgitation (FMR) is a significant burden among our increasingly elderly population. Mitral valve repair (MVr) is the preferred surgical treatment of FMR despite limited evidence supporting its efficacy. Mitral valve replacement (MVR) is the alternative procedure typically reserved for patients who are at higher risk or refractory to MVr. The present study aims to determine which of the two procedures is more effective in the surgical treatment of FMR. Methods: 344 charts of FMR patients who received either MVr (n = 263) or MVR (n = 81) from 2004-2016 at our institution were reviewed. Treatment efficacy was assessed based on heart failure (HF)-readmission and survival rates within 5 years from discharge. Propensity score approach with inverse probability weighting and Cox regression models were employed to evaluate procedural impact on survival and rehospitalizations, respectively. Follow-up echocardiographic data from the original cohort was assessed for differences in metrics between procedural groups at >6 months (MVr: n = 75; MVR: n = 23) and 1 year (MVr: n = 75; MVR: n = 18) post-op. Results: MVR patients had a lower risk of being readmitted for HF within 5 years compared to the MVr group (HR-adj (95% CI): 0.60 (0.41 - 0.88), p = 0.008). MVR patients also had a higher overall risk of death (HR-adj (95% CI): 1.82 (1.05 - 3.16), p = 0.034) but this was border-line significantly different at 5 years cut-off (p = 0.057). Conclusions: Higher HF readmission in MVr patients than in sicker, higher surgical-risk MVR patients reflects the inadequacy of MVr to treat FMR. Novel approaches to MVR may be necessary to adequately manage FMR.
背景:功能性二尖瓣反流(FMR)是我国日益老龄化人口的一个重要负担。二尖瓣修复(MVr)是FMR首选的手术治疗方法，尽管支持其疗效的证据有限。二尖瓣置换术(MVR)是一种可选择的手术，通常用于高危或难治性的患者。本研究旨在确定两种方法中哪一种在FMR手术治疗中更有效。方法:回顾我院2004-2016年344例接受MVr (n = 263)或MVr (n = 81)的FMR患者的病历。治疗效果评估基于心力衰竭(HF)-出院后5年内的再入院率和生存率。采用反概率加权倾向得分法和Cox回归模型分别评估手术对生存率和再住院率的影响。对原始队列的随访超声心动图数据进行评估，以确定手术组在bbb至6个月时的指标差异(MVr: n = 75;MVR: n = 23)和1年(MVR: n = 75;MVR: n = 18)术后。结果:与MVR组相比，MVR患者在5年内因HF再次入院的风险较低(HR-adj (95% CI): 0.60 (0.41 - 0.88)， p = 0.008)。MVR患者也有更高的总体死亡风险(HR-adj (95% CI): 1.82 (1.05 - 3.16)， p = 0.034)，但在5年截止时间(p = 0.057)，这是有显著性差异的。结论:MVr患者的HF再入院率高于病情较重、手术风险较高的MVr患者，反映了MVr治疗FMR的不足。为了充分管理FMR，可能需要新的MVR方法。
{"title":"Mitral Valve Surgery for Functional Regurgitation: Insights into Heart Failure and Readmission","authors":"Joseph A. Gancayco, Alexander P. Kossar, C. Chiuzan, I. George","doi":"10.4236/wjcs.2022.126011","DOIUrl":"https://doi.org/10.4236/wjcs.2022.126011","url":null,"abstract":"Background: Functional mitral regurgitation (FMR) is a significant burden among our increasingly elderly population. Mitral valve repair (MVr) is the preferred surgical treatment of FMR despite limited evidence supporting its efficacy. Mitral valve replacement (MVR) is the alternative procedure typically reserved for patients who are at higher risk or refractory to MVr. The present study aims to determine which of the two procedures is more effective in the surgical treatment of FMR. Methods: 344 charts of FMR patients who received either MVr (n = 263) or MVR (n = 81) from 2004-2016 at our institution were reviewed. Treatment efficacy was assessed based on heart failure (HF)-readmission and survival rates within 5 years from discharge. Propensity score approach with inverse probability weighting and Cox regression models were employed to evaluate procedural impact on survival and rehospitalizations, respectively. Follow-up echocardiographic data from the original cohort was assessed for differences in metrics between procedural groups at >6 months (MVr: n = 75; MVR: n = 23) and 1 year (MVr: n = 75; MVR: n = 18) post-op. Results: MVR patients had a lower risk of being readmitted for HF within 5 years compared to the MVr group (HR-adj (95% CI): 0.60 (0.41 - 0.88), p = 0.008). MVR patients also had a higher overall risk of death (HR-adj (95% CI): 1.82 (1.05 - 3.16), p = 0.034) but this was border-line significantly different at 5 years cut-off (p = 0.057). Conclusions: Higher HF readmission in MVr patients than in sicker, higher surgical-risk MVR patients reflects the inadequacy of MVr to treat FMR. Novel approaches to MVR may be necessary to adequately manage FMR.","PeriodicalId":23646,"journal":{"name":"World Journal of Cardiovascular Surgery","volume":"111 3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79459501","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.4236/wjcs.2022.123003
S. Katırcıoğlu, H. Keski̇n
A 58-year-old male patient with LAD diffuse had hyperlipidemia and hypertension. Preoperative angiography showed that he had triple-vessel disease with diffusely diseased LAD. In echocardiography, EF was detected as 60 % (52 70) and PAP 25 (12 25) mmHg and 2 degrees of tricuspid insufficiency. In this case report, we will present our LAD endarterectomy case. Surgical technique: after standard general anesthesia, cardiopulmonary bypass procedure and moderate hypothermia, cold cardioplegic arrest. Longitudinal long LAD endarterectomy was performed (approximately 10 cm long). A dissector was used to develop on the plane between media and atheroma. Gentle traction was made to light off the atheroplaque with the coronary artery branches, distal and proximal part of the LAD. We assumed that the distal part of the LAD was free from plaque. Then we made the same procedure to the proximal part of the LAD. Luckily, we observed that proximal atheroplaque was also harvested. After completing the endarterectomy, antegrade cardioplegia was administrated to wash and any debris is LAD; also we tried the distal part of the LAD. Via retrograde cardioplegia administrated, we did also observe the bolus return of cardioplegia via retrograde way. After making the same coronary end arteriotomy was successful, we used saphenous vein as a patch for LAD reconstruction. We made only patch plasty like a carotid endarterectomy. Postoperative follow-up period was 120 months. According to 8 years angiography result, LAD patch plasty was working relatively well. The patient did not have any complaints. We made coronary angiography 10 years after the operation and observed that our patch plasty was occluded but the patient has still class II symptoms with an EF value of 40%.
{"title":"Long Segmenter Reconstruction of Diffusely Diseased of the Left Anterior Descending Artery without Coronary Artery Bypass Grafting","authors":"S. Katırcıoğlu, H. Keski̇n","doi":"10.4236/wjcs.2022.123003","DOIUrl":"https://doi.org/10.4236/wjcs.2022.123003","url":null,"abstract":"A 58-year-old male patient with LAD diffuse had hyperlipidemia and hypertension. Preoperative angiography showed that he had triple-vessel disease with diffusely diseased LAD. In echocardiography, EF was detected as 60 % (52 70) and PAP 25 (12 25) mmHg and 2 degrees of tricuspid insufficiency. In this case report, we will present our LAD endarterectomy case. Surgical technique: after standard general anesthesia, cardiopulmonary bypass procedure and moderate hypothermia, cold cardioplegic arrest. Longitudinal long LAD endarterectomy was performed (approximately 10 cm long). A dissector was used to develop on the plane between media and atheroma. Gentle traction was made to light off the atheroplaque with the coronary artery branches, distal and proximal part of the LAD. We assumed that the distal part of the LAD was free from plaque. Then we made the same procedure to the proximal part of the LAD. Luckily, we observed that proximal atheroplaque was also harvested. After completing the endarterectomy, antegrade cardioplegia was administrated to wash and any debris is LAD; also we tried the distal part of the LAD. Via retrograde cardioplegia administrated, we did also observe the bolus return of cardioplegia via retrograde way. After making the same coronary end arteriotomy was successful, we used saphenous vein as a patch for LAD reconstruction. We made only patch plasty like a carotid endarterectomy. Postoperative follow-up period was 120 months. According to 8 years angiography result, LAD patch plasty was working relatively well. The patient did not have any complaints. We made coronary angiography 10 years after the operation and observed that our patch plasty was occluded but the patient has still class II symptoms with an EF value of 40%.","PeriodicalId":23646,"journal":{"name":"World Journal of Cardiovascular Surgery","volume":"32 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74444186","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.4236/wjcs.2022.121024
Aathi S. Somanathan
{"title":"To What Extent Can Transcatheter Devices Replace Open-Heart Surgery in the Treatment of Cardiac Septal Defects?","authors":"Aathi S. Somanathan","doi":"10.4236/wjcs.2022.121024","DOIUrl":"https://doi.org/10.4236/wjcs.2022.121024","url":null,"abstract":"","PeriodicalId":23646,"journal":{"name":"World Journal of Cardiovascular Surgery","volume":"22 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75483934","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.4236/wjcs.2022.1210019
Md. Abir Tazim Chowdhury, Md. Zulfiqur Haider, Sohail Ahmed, S. Z. Nine, Arup Khan, Naheed Rayhan, Musfaqus Shalehin, Md. Sifat Uddin, Nakib Shah Alam, Saiful Khan, N. Ahmed, Munama Magdum
{"title":"Laubry-Pezzi Syndrome in an Adult Male Patient and Its Surgical Correction: A Case Report and Literature Review","authors":"Md. Abir Tazim Chowdhury, Md. Zulfiqur Haider, Sohail Ahmed, S. Z. Nine, Arup Khan, Naheed Rayhan, Musfaqus Shalehin, Md. Sifat Uddin, Nakib Shah Alam, Saiful Khan, N. Ahmed, Munama Magdum","doi":"10.4236/wjcs.2022.1210019","DOIUrl":"https://doi.org/10.4236/wjcs.2022.1210019","url":null,"abstract":"","PeriodicalId":23646,"journal":{"name":"World Journal of Cardiovascular Surgery","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84667467","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.4236/wjcs.2022.121021
F. Gharagozloo
{"title":"Algorithm for Surgical Decision Making in Patients with Thoracic Outlet Syndrome","authors":"F. Gharagozloo","doi":"10.4236/wjcs.2022.121021","DOIUrl":"https://doi.org/10.4236/wjcs.2022.121021","url":null,"abstract":"","PeriodicalId":23646,"journal":{"name":"World Journal of Cardiovascular Surgery","volume":"15 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84136703","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.4236/wjcs.2022.1211025
K. Souaga, E. Katché, Yoboua Aimé Kirioua-Kamenan, Jean Calaire Degré, K. A. Amani, Gnamien Randolph Niava, J. Kouame, Paul Yapo Yapo, K. Kendja
Background: Chronic constrictive pericarditis is a rare but serious clinical entity with a poor prognosis in the absence of surgical treatment. The purpose of this study was to report on our experience of subtotal anterior peri-cardectomy and analyze our surgical results. Results: We included 74 patients operated on for chronic constrictive pericarditis in our institution during the period from January 1985 to December 2020. There were 29 female and 45 male patients, with an average age of 28 years (range: 8 - 64 years). 36.5% of patients were in NYHA class III or IV. Physical signs were dominated by peripheral signs of right heart failure in 93.2% of cases. The surgical procedure was a subtotal anterior pericardectomy from the left to the right phrenic nerve, freeing the heart chambers and the large vessels. The surgical results were marked by a functional improvement in 82.4% of the cases. The post-operative complications were marked by a low cardiac output in 8.1% of the cases, a atrial fibrillation in 4.1% of the cases, a haemorrhage in 1.4% of the cases, a haemothorax in 2.7% of the cases. Perioperative mortality was 5.4% patients. The causes of death were low cardiac output in 50% of cases, hemorrhage in 25% of cases, and hepatocellular insufficiency in 25% of cases. We observed a mortality of 2.9% after an average follow-up of 5.17 years ± 4.76 years. All other survivors were asymptomatic and no re-intervention for recurrence was performed. Conclusions: Subtotal anterior pericardectomy was the technique we used for the treatment of chronic constrictive pericarditis. It allowed having satisfactory surgical results with a functional improvement and an acceptable morbidity.
{"title":"Surgical Treatment of Chronic Constrictive Pericarditis in a Developing Country","authors":"K. Souaga, E. Katché, Yoboua Aimé Kirioua-Kamenan, Jean Calaire Degré, K. A. Amani, Gnamien Randolph Niava, J. Kouame, Paul Yapo Yapo, K. Kendja","doi":"10.4236/wjcs.2022.1211025","DOIUrl":"https://doi.org/10.4236/wjcs.2022.1211025","url":null,"abstract":"Background: Chronic constrictive pericarditis is a rare but serious clinical entity with a poor prognosis in the absence of surgical treatment. The purpose of this study was to report on our experience of subtotal anterior peri-cardectomy and analyze our surgical results. Results: We included 74 patients operated on for chronic constrictive pericarditis in our institution during the period from January 1985 to December 2020. There were 29 female and 45 male patients, with an average age of 28 years (range: 8 - 64 years). 36.5% of patients were in NYHA class III or IV. Physical signs were dominated by peripheral signs of right heart failure in 93.2% of cases. The surgical procedure was a subtotal anterior pericardectomy from the left to the right phrenic nerve, freeing the heart chambers and the large vessels. The surgical results were marked by a functional improvement in 82.4% of the cases. The post-operative complications were marked by a low cardiac output in 8.1% of the cases, a atrial fibrillation in 4.1% of the cases, a haemorrhage in 1.4% of the cases, a haemothorax in 2.7% of the cases. Perioperative mortality was 5.4% patients. The causes of death were low cardiac output in 50% of cases, hemorrhage in 25% of cases, and hepatocellular insufficiency in 25% of cases. We observed a mortality of 2.9% after an average follow-up of 5.17 years ± 4.76 years. All other survivors were asymptomatic and no re-intervention for recurrence was performed. Conclusions: Subtotal anterior pericardectomy was the technique we used for the treatment of chronic constrictive pericarditis. It allowed having satisfactory surgical results with a functional improvement and an acceptable morbidity.","PeriodicalId":23646,"journal":{"name":"World Journal of Cardiovascular Surgery","volume":"92 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85681932","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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