advise on what caution needs to be taken after a Pericardiectomy and
useful information will be appreciated to.
you your assistance is appreciated
important to keep the incision areas clean and dry.
relief and normalization of cardiac pressures may take several months
mortality rates after pericardiectomy exceed those of age-matched
of patients demonstrate a symptomatic improvement after surgery, but
up to 25% remain symptomatic.
heart failure symptoms may necessitate continued diuretic therapy.
Left ventricular systolic dysfunction may occur after pericardial
stripping mainly due to myocardial fibrosis; this should be treated
with ACE inhibitor and beta-blocker therapy in the usual fashion.
after pericardiectomy is greatly dependent on patient age.
of the few reports in literature about repeat operations for recurrent
pericardial constriction, reveals that all of the reported cases were
as a result of partial pericardiectomy with residual pericardium in
the posterior surface of the heart.
filling characteristics remain abnormal in a substantial number of
patients with constrictive pericarditis after pericardiectomy. These
abnormalities may resolve gradually but can persist.
filling abnormalities after pericardiectomy correlate well with clinical
symptoms and tend to occur in patients who have had symptoms longer
pericardiectomy using a right anterolateral thoracotomy can be performed
safely and can lead to long-term survival and good functional results.
survival after pericardiectomy for constrictive pericarditis differs
significantly based on disease etiology.