A 20-year experience with isolated pericardiectomy: Analysis of indications and outcomes Erin A. Gillaspie, MD, John M. Stulak, MD, Richard C. Daly,

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A 20-year Experience with Isolated Pericardiectomy An Analysis of Indications and Outcomes Gillaspie EA, Stulak JM, Daly RC, Greason KL, Joyce LD, Oh J,

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Presentation transcript:

A 20-year experience with isolated pericardiectomy: Analysis of indications and outcomes Erin A. Gillaspie, MD, John M. Stulak, MD, Richard C. Daly, MD, Kevin L. Greason, MD, Lyle D. Joyce, MD, PhD, Jae Oh, MD, Hartzell V. Schaff, MD, Joseph A. Dearani, MD The Journal of Thoracic and Cardiovascular Surgery Volume 152, Issue 2, Pages 448-458 (August 2016) DOI: 10.1016/j.jtcvs.2016.03.098 Copyright © 2016 Terms and Conditions

Figure 1 Late survival for all patients undergoing isolated pericardiectomy. The Journal of Thoracic and Cardiovascular Surgery 2016 152, 448-458DOI: (10.1016/j.jtcvs.2016.03.098) Copyright © 2016 Terms and Conditions

Figure 2 Late survival according to preoperative indication for pericardiectomy. Late survival is significantly higher when performed for effusive/chronic relapsing pericarditis (solid line) compared with pericardial constriction (dotted line) (P < .001). E/CR, Effusive/chronic relapsing group. The Journal of Thoracic and Cardiovascular Surgery 2016 152, 448-458DOI: (10.1016/j.jtcvs.2016.03.098) Copyright © 2016 Terms and Conditions

Figure 3 Late survival for patients undergoing pericardiectomy for effusive/chronic relapsing pericarditis according to specific preoperative indication, including pain (solid line), constriction (dashed line), and effusion (dotted line). A significantly lower survival was observed in patients with a pericardial effusion (P = .034). The Journal of Thoracic and Cardiovascular Surgery 2016 152, 448-458DOI: (10.1016/j.jtcvs.2016.03.098) Copyright © 2016 Terms and Conditions

Figure 4 Late survival for patients undergoing pericardiectomy for effusive/chronic relapsing pericarditis according to type of physiology present at operation, including normal (solid line) versus constriction (dashed line) versus tamponade (dotted line). A significantly lower survival was observed in patients with tamponade physiology (P < .001). The Journal of Thoracic and Cardiovascular Surgery 2016 152, 448-458DOI: (10.1016/j.jtcvs.2016.03.098) Copyright © 2016 Terms and Conditions

Late survival is different after pericardiectomy depending on indication for surgery. The Journal of Thoracic and Cardiovascular Surgery 2016 152, 448-458DOI: (10.1016/j.jtcvs.2016.03.098) Copyright © 2016 Terms and Conditions

The Journal of Thoracic and Cardiovascular Surgery 2016 152, 448-458DOI: (10.1016/j.jtcvs.2016.03.098) Copyright © 2016 Terms and Conditions