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The Annals of Thoracic Surgery, Vol 34, 40-45, Copyright © 1982 by The Society of Thoracic Surgeons
JI Miller, KA Mansour and CR Hatcher Jr
During a 7 1/2-year period, 102 patients underwent pericardiectomy in the
Emory University Affiliated Hospitals for a wide variety of pericardial
disease. Seventy-six patients had predominantly effusive pericardial
disease, and 26 patients had constrictive pericarditis. Nineteen cases of
constrictive pericarditis developed in patients who had undergone previous
open-heart operations. Hospital mortality at six weeks was 8.8%. The
surgical approach was a left anterior thoracotomy in 72 patients; median
sternotomy in 26 patients; and a subxiphoid approach in 4 patients. Only 2
patients required cardiopulmonary bypass. A detailed discussion of each
subgroup of patients with pericardial disease requiring pericardiectomy is
given.
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Pericardiectomy: current indications, concepts, and results in a university center
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