Abstract
Pericardium is a fibrous structure that surrounds whole the heart and the origin of the great arteries. Pericardial disease arise by the effüsive, constictive or neoplastic pathologies. Pericardial surgery performed mostly in the effusive or constrictive pathologies. Many types of the pericardial approaches are performed (mediastinal exploration, pericardial window opening and pericardiectomy). The surgery is challenging and multiple complications and risk factors were described. Nearly half of the cases are suffered from complications. Decision of the operation procedure should be done carefully. Sometimes total correction of the pathology may cause side effects. On the other hand recurrence is not uncommon in palliative procedures. Preventing from the complications needs sufficient evaluation and surgical abilitiy. Surgeons should not avoid chemical or mechanical support usage if necessary.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Abbreviations
- VATS :
-
Video Assisted Thoracoscopic Surgery
- ECG:
-
Electrocardiography
- CVP:
-
Central Venous Pressure
- TEE:
-
Trans Esophageal Echocardiography
- CPB:
-
Cardio Pulmonary Bypass
- CT:
-
Computer Tomography
- IABP:
-
Intra Aortic Balloon Pump
- NHYA:
-
New York Heart Association
- COPD:
-
Chronic Obstructive Pulmonary Disease
- GIS:
-
Gastro Intestinal System
- MI:
-
Myocard Infarction
- ECMO:
-
Extra Corporeal Membrane Oxygenation
References
Cho YH, Schaff HV. Surgery for pericardial disease. Heart Fail Rev. 2013;18(3):375–87. https://doi.org/10.1007/s10741-012-9338-7.
Chowdhury UK, Subramaniam GK, Kumar AS, et al. Pericardiectomy for constrictive pericarditis: a clinical, echocardiographic, and hemodynamic evaluation of two surgical techniques. Ann Thorac Surg. 2006;81(2):522–9. https://doi.org/10.1016/j.athoracsur.2005.08.009.
Luk A, Ahn E, Vaideeswar P, et al. Pericardial tumors. Semin Diagn Pathol. 2008;25(1):47–53. https://doi.org/10.1053/j.semdp.2007.12.001.
Becit N, Ünlü Y, Ceviz M, et al. Subxiphoid pericardiostomy in the management of pericardial effusions: case series analysis of 368 patients. Heart. 2005;91(6):785–90. https://doi.org/10.1136/hrt.2004.037499.
Adler Y, Charron P, Imazio M, et al. 2015 ESC Guidelines for the diagnosis and management of pericardial diseases: the task force for the diagnosis and management of pericardial diseases of the European Society of Cardiology (ESC) endorsed by: The European Association for Cardio-Thoracic Surgery (EACTS). Eur Heart J. 2015;36(42):2921–64. https://doi.org/10.1093/eurheartj/ehv318.
Hemmati P, Greason KL, Schaff HV. Contemporary techniques of pericardiectomy for pericardial disease. Cardiol Clin. 2017;35(4):559–66. https://doi.org/10.1016/j.ccl.2017.07.009.
Nozohoor S, Johansson M, Koul B, et al. Radical pericardiectomy for chronic constrictive pericarditis. J Card Surg. 2018;33(6):301–7. https://doi.org/10.1111/jocs.13715.
Nataf P, Cacoub P, Dorent R, et al. Results of subtotal pericardiectomy for constrictive pericarditis. Eur J Cardiothorac Surg. 1993;7(5):252–6. https://doi.org/10.1016/1010-7940(93)90213-U.
Lachman N, Vanker EA, Christensen KN, et al. Pericardiectomy: a functional anatomical perspective for the choice of left anterolateral thoracotomy. J Card Surg. 2009;24(4):411–3. https://doi.org/10.1111/j.1540-8191.2008.00775.x.
Maisch B, Seferović PM, Ristić AD, et al. Guidelines on the diagnosis and management of pericardial diseases executive summary: the taskforce on the diagnosis and management of pericardial diseases of the European Society of Cardiology. Eur Heart J. 2004;25(7):587–610. https://doi.org/10.1016/j.ehj.2004.02.002.
Lin Y, Zhou M, Xiao J, et al. Treating constrictive pericarditis in a Chinese single-center study: a five-year experience. Ann Thorac Surg. 2012;94(4):1235–40. https://doi.org/10.1016/j.athoracsur.2012.05.002.
Shiraishi M, Yamaguchi A, Muramatsu K, et al. Validation of waffle procedure for constrictive pericarditis with epicardial thickening. Gen Thorac Cardiovasc Surg. 2015;63(1):30–7. https://doi.org/10.1007/s11748-014-0434-6.
Bertog SC, Thambidorai SK, Parakh K, et al. Constrictive pericarditis: etiology and cause-specific survival after pericardiectomy. J Am Coll Cardiol. 2004;143(8):1445–52. https://doi.org/10.1016/j.jacc.2003.11.048.
Gopaldas RR, Dao TK, Caron NR, et al. Predictors of in-hospital complications after pericardiectomy: a nation wide outcomes study. J Thorac Cardiovasc Surg. 2013;145(5):1227–33. https://doi.org/10.1016/j.jtcvs.2012.03.072.
Murashita T, Schaff HV, Daly RC, et al. Experience with pericardiectomy for constrictive pericarditis over eight decades. Ann Thorac Surg. 2017;104(3):742–50. https://doi.org/10.1016/j.athoracsur.2017.05.063.
Khandaker MH, Schaff HV, Greason KL, et al. Pericardiectomy vs medical management in patients with relapsing pericarditis. Mayo Clin Proc. 2012;87(11):1062–70. https://doi.org/10.1016/j.mayocp.2012.05.024.
De Valeria PA, Baumgartner WA, Casale AS, et al. Current indications, risks, and outcome after pericardiectomy. Ann Thorac Surg. 1991;52(2):219–24. https://doi.org/10.1016/0003-4975(91)91339-W.
Depboylu BC, Mootoosamy P, Vistarini N, et al. Surgical treatment of constrictive pericarditis. Tex Heart Inst J. 2017;44(2):101–6. https://doi.org/10.14503/THIJ-16-5772.
Acharya A, Koirala R, Rajbhandari N, et al. Anterior pericardiectomy for post infective constrictive pericarditis; intermediate term outcomes. Ann Thorac Surg. 2018;106(4):1178–81. https://doi.org/10.1016/j.athoracsur.2018.04.048.
Nachum E, Sternik L, Kassif Y, et al. Surgical pericardiectomy for constrictive pericarditis: a single tertiary center experience. Thorac Cardiovasc Surg. 2018. https://doi.org/10.1055/s-0038-1645869.
Tirilomis T, Unverdorben S, Von der Emde J. Pericardectomy for chronic constrictive pericarditis: risks and outcome. Eur J Cardiothorac Surg. 1994;8(9):487–92. https://doi.org/10.1016/1010-7940(94)90020-5.
Góngora E, Dearani JA, Orszulak TA, et al. Tricuspid regurgitation in patients undergoing pericardiectomy for constrictive pericarditis. Ann Thorac Surg. 2008;85(1):163–71. https://doi.org/10.1016/j.athoracsur.2007.06.051.
Alimi F, Marzouk M, Mgarrech I, et al. Cardiac herniation after left intrapericardial pneumonectomy. Asian Cardiovasc Thorac Ann. 2016;24(6):590–2. https://doi.org/10.1177/0218492315589199.
Unzue L, García E, Diaz-Anton B, et al. Percutaneous closure of a giant coronary artery fistula after surgical pericardiectomy. Review of the literature. Cardiovasc Revasc Med. 2017;18(5):384–9. https://doi.org/10.1016/j.carrev.2017.03.002.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2020 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Aksüt, M., Altaş, Ö., Kırali, K. (2020). Intraoperative Accidents and Postoperative Complications in the Surgery of the Pericardium. In: Nistor, C.E., Tsui, S., Kırali, K., Ciuche, A., Aresu, G., Kocher, G.J. (eds) Thoracic Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-40679-0_58
Download citation
DOI: https://doi.org/10.1007/978-3-030-40679-0_58
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-40678-3
Online ISBN: 978-3-030-40679-0
eBook Packages: MedicineMedicine (R0)