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2011, Number 4

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Revista Cubana de Cirugía 2011; 50 (4)

Review and experience in five cases of extensive pericardiectomy

Armas PBA, García RME, Duménigo AO, Reyes BES, Segura PLA

Language: Spanish
References: 41
Page: 438-450
PDF size: 381.23 Kb.


ABSTRACT

Objective: to describe the evolution of the cases treated by constrictive pericarditis.
Methods: a retrospective study was performed in five cases treated by chronological order due to constrictive pericarditis in the hospitals "Amalia Simoni" of Camagüey province (4) and "Martin Chang Puga" of Nuevitas municipality (1) in 5 years (2004-2008) whose main surgical indication was the clinical evidence of cardiac tamponage.
Results: mean age was of 49 years (range 36-68), four male patients in four of the leakage was serohematinic and another purulent type. In a patient there was a barrier heart with calcifications. Etiology was post-traumatic, acute infection and pericardial metastasis in a case each. In two patients extrapulmonary pericardial tuberculosis was not confirmed, although it could correspond. The thorax approach was mainly by left anterior thoracotomy and the procedure was an extensive pericardiectomy, previous pericardial puncture. From 5 cases, three patients were discharged alive and two dyed.
Conclusions: patients presenting with constrictive pericarditis, leakage and signs of cardiac tamponage must to be treated with pericardiocentesis and the extensive pericardiectomy, when be prescribed. This is a good therapeutic option.


REFERENCES

  1. Beer MH, Porter RS, Jones TV, Kaplan JL, Berkwits M. Pericarditis. El Manual Merck de Diagnóstico y Tratamiento. Tomo III. 2da. Ed. Madrid: Elsevier; 2007. p. 787.

  2. Colman E. The pericardium en Gibbon JH Jr. Surgery of the chest. Philadelphia: W.B. Saunder Company; 1966. p. 599.

  3. Aztiria AH. Pericarditis crónica constrictiva. Buenos Aires: Editorial El Ateneo; 1944. p. 17.

  4. Kirschner M. Tratado de técnica operatoria general y especial. Tomo 4. Barcelona: Editorial Labor S.A.; 1944. p. 861.

  5. Pericarditis. Clasificación y recursos externos [homepage en internet]. Madrid: wikimedia proyect, Powired by Mediowiki; 2009 [actualizado 10 de marzo de 2010; [citado 11 de junio de 2010]. Disponible en: http://es.wikipedia.org/wiki/pericarditis.junio2009

  6. Robbs JV, Lynne WB. Cardiovascular trauma. En: Ravitch MM, Steichen FM. Current Problems in Surgery. Chicago: Year Book Medical Publisher Inc.; 1984. p. 10.

  7. Eroles G, Rondon P, Ferreiro D, Romero C, Salcedo S, Lacambra C, et al. Análisis de 73 casos de derrame pericárdico significativo. Rev Clínica Esp. 2004;204(3):125-30.

  8. Schoen FJ. El Corazón, en Cotran RS, Kumar V, Robbins Sl. Patología Estructural y Funcional. 5ta. Ed. Madrid: Mc Graw-Hill-Interamericana; 1998. p. 627.

  9. Caselles MG, Blanco M, Zardoya R, Bestard LA. Pericarditis constrictiva crónica calcificada. Un reporte sui géneris. Rev Cubana Med [serie en internet] 2003 [citado 22 de mayo de 2010];42(3). Disponible en: http://bvs.sld.cu/revistas/med/vol42_3_03/med09303.htm

  10. Galbis JM, Yeste L, Sales JG, Cuenca M, Rinaldi P, Viñales B, Sánchez F. Manejo de los derrames pericárdicos benignos por videotoracoscopia. Cir Cardiov. 2007;14(1):41-5.

  11. Le Winter MM. Pericardial diseases in Lobby P, Bonow RO, Mana DL, Zipes DP. Liby: Braunwald's Heart Disease. A textbook of Cardiovascular Medicine. 8va. Ed. St Louis: WB Saunders; 2007. p. 1757.

  12. Schwefer M, Achenbach R, Heidemann J, Mey C, Lapp H. Constrictive pericarditis, still a diagnostic challenge: comprehensive review of clinic management. Eur J Cardiothorac Surg [serie en internet]. 2009 Sept [citado 12 de mayo de 2011]. Disponible en: http://www.sciencedrect.com/science/article/pii/51010794009002668

  13. Ling LH, Oh JK, Tei G, Cuck RL, Breen JF, Seward JB, et al. Pericardial thickness measured with transesophageal echocardiography: Feasibility and potential clinical sefulnes. J Am Coll Cardiol. 1997;29:1317-23.

  14. Buts T, Faber L, Piper C, Langer C, Kottmann T, Schmidt HK, et al. Constrictive pericarditis or restrictive cardiomyopathy? Echocardiographic tissue Doppler analysis. Dtsch Med Wochenschr. 2008;133(9):399-405.

  15. Asher CR, Klein AL. Pericarditis Constrictiva. Lancet. 2004;363(9410):717-27.

  16. Laureña P, Navas MA. Pericarditis aguda. Guías Clínicas [serie en internet] 2006 [consultado 2 de junio de 2011];6(10). Disponible en: http://www.fisterra.com/guias2/pericarditis.asp

  17. Lachman N, Vanker EA, Christensen KN, Satyapal KS, Fenell WM. Pericardiectomy: a functional anatomical perspective for the choice of left anterolateral thoracotomy. J Card Surg. 2009;24(4):411-3.

  18. Voces R, Aramendi JI, Rodríguez MA, Gochi R. Tuberculosis del pericardio. Cir Cardiov. 2005;12(1):92-6.

  19. Guzmán I, Vieyra G. Pericarditis tuberculosa, presentándose como constricción pericárdica. Rev Med Interna. 2003;14(1):6-13.

  20. Zhang LH, Ni C, Guo LL. Clinical and pathological characteristics of constrictive pericarditis in China. Zhonghua Xin Xue Guan Bing Za Zhi. 2008;36(9):812-5.

  21. Mayosi BM, Ntsekhe M, Volmink JA, Commerford PJ. Intervenciones para el tratamiento de la pericarditis tuberculosa. (Cochrane Review). 2009. In: La Biblioteca Cochrane Plus; 2009 (issue 3, CD000526).

  22. Sengupta PP, Eleid MF, Khandheria BK. Constrictive Pericarditis. Circ J. 2008;72(10):1555-62.

  23. Dal-Blanco JP, Sengupta PP, Mookadam F, Chandrasekaram K, Tajik AJ, Khandheria BK. Role of echocardiography in the diagnosis of constrictive pericarditis. J Am Scoc Echocardiogr. 2009;22(1):24-33.

  24. Manhas AH, Martin RT, Reul GJ, Stainback RF. Heart failure due to a posttraumatic calcified pericardial hematoma. Tex Heart Inst J. 2008;35(3):345-8.

  25. Okamoto Y, Matsumoto M, Inoue H. Cystic mass formation in constrictive pericarditis and epicarditis after open-heart surgery. Interact Cardiovasc Thorac Surg. 2009;8(5):589-91.

  26. Golabex K, Wierzbowska-Drabik K, Pawlowski W, Kasprzak JD. Constrictive Pericarditis. A case report. Kardiol Pol. 2009;67(5):529-34.

  27. Noya Pimienta M, López Montaño JL, Cuan Ravinal R, Valladares Lorenzo R. Pericarditis fibrinohemorrágica por trauma. Presentación de un caso. Rev Arch Med [serie en internet] 2001 [citado 20 de mayo de 2010];5(S1). Disponible en: http://www.amc.sld.cu/amc/2001/VOL5(4) -1index.htm

  28. Ariki H, Bandou K. Pyopericardium followed by acute progression of constrictive pericarditis. Kyobo Geka. 2009;62(2):133-5.

  29. Marti V, Garrido P, Seixo F, Pecet A, Gineli A. Purulent pericarditis with cardiac tamponade caused by anaerobic agent. Rev Port Cardiol. 2008;27(7-8):959-64.

  30. Maisch B, Seferovic PM, Ristic Ad, Erbel R, Rienmüller R, Adler Y, et al. Guía práctica clínica para el diagnóstico y tratamiento de las enfermedades del pericardio (versión resumida). Rev Esp Cardiol. 2004;57(11):1090-114.

  31. Kainuma S, Masai T, Yamauchi T, Takeda K, Ito H, Sawa Y. Primary malignant pericardial mesothelioma presenting as pericardial constriction. Ann Thorac Cardiovasc Surg. 2008;14(6):396-8.

  32. Singh S, Swami N, Singh H, Sharma R, Mehta S, Dhaliwal RS. Chronic constrictive calcific pericarditis. Asian Cardiovasc Thorac Ann. 2008;16(5):432-3.

  33. Pecet AM, Marti V, Cardona M, Montiel J, Guindo J, Domínguez E. Resultados de la pericardiectomía por pericarditis constrictiva crónica. Rev Esp Cardiol. 2007;60(10):1097-101.

  34. Troughton RW, Asher CR, Klein AL. Pericarditis. Lancet. 2004;363(9410):717-27.

  35. Csendes A, González G. Operaciones de "alta complejidad". Definiciones, técnicas y estadísticas. Rev Chilena Cir. 2005;57(1):178-83.

  36. Can I, Kerimoglu U, Ozdemir K. Calcific constrictive pericarditis in a patient presenting with right heart failure. Turk Kardiyol Dern Ars. 2008;36(6):397-9.

  37. Spottiswoode B, Russell JB, Moosa S, Meintjes EM, Epstein FH, Mayosi BM. Abnormal diastolic and systolic septal motion following pericardiectomy demonstrated by Ciné Dense MRI. Cardiovasc J Afr. 2008;19(4):208-9.

  38. Igbal T, Karovitch A, Veinot J, Saginur R, Beauchesne L. Whipple's disease with constrictive pericarditis: a rare disease with a rare presentation. Can J Cardiol. 2009;25(3):89-91.

  39. Gujral V, López-Candales A, Abdelhadi R, Crock F, Gulyasy B. Constrictive pericarditis: an unusual clinical entity suggested during Dobutamine stress echocardiography. International Journal of Cardiology. 2009;113(2):E58-E61.

  40. Mederos ON, Del Campo R, Cantero A, Millán R, Barreras JC, Peña Y, et al. Pericarditis crónica fibrosa provocando disnea invalidante tratada mediante pericardiectomia. Arch Cir Gen Dig [serie en internet]. 2005 [citado 20 de mayo de 2010];29@cirugest. Disponible en: http://www.cirugest.com/revista/2005/20/2005-08-29htm

  41. Hota SS, Chow CM, Bonneau D, Chisholm RJ. Surgical treatment for incessant pericarditis. Can J Cardiol. 2009;25(3):161-2.




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