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
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.