Abstract
The aim of thisstudy isto evaluate the results after surgical treatment of constrictive pericarditis. Patients and method: From 1996 to 2008, 32 patients were operated in Dakar teaching hospital; the mean age was 23 years. Symptoms secondary to venous congestion were present, there were 80% in dyspnea class II NYHA. History of pulmonary tuberculosis was found in 72%. Cardiac catheterization was performed in 50% patients and a characteristic dip and plateau wasfound. Subtotal pericardiectomy (from phrenic nerve to phrenic nerve) through median sternotomy was realised without cardiopulmonary bypass. Histopathological analysis revealed tuberculosis in 60%. Results: Post operative mortality was 6,25 %. Complications were right atrium lesion (12,5%) and phrenic nerve injury (3%). After 5 years, 75% of the patients were in dyspnea classI of NYHA and 6,25% in classII. Conclusion: Subtotal pericardiectomy through median sternotomy is an effective surgical procedure for the treatment of constrictive pericarditis. In Senegal tuberculosisisthe main etiology. Pericardiectomy associated with medical treatment modified functional prognosis of patients
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