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Surgical Approaches for Pericardial Diseases: What Is New?

  • Pericardial Disease (AL Klein and CL Jellis, Section Editors)
  • Published:
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Abstract

Purpose of Review

The purpose of this review is to discuss the evolving techniques and approaches for pericardiectomy, with a focus on the use of cardiopulmonary bypass (CPB) and the extent of radical pericardial resection. The review aims to highlight the benefits and considerations associated with these modifications in radical pericardiectomy.

Recent Findings

Recent studies have demonstrated that the use of CPB during pericardiectomy does not increase procedural risk or negatively impact survival. In fact, it has been shown to contribute to a more radical resection and improve postoperative outcomes, which is associated with less recurrence and better survival.

Summary

The review emphasizes the importance of radical pericardiectomy and the use of CPB in achieving successful outcomes. Radical resection of the pericardium, facilitated by CPB, helps minimize the risk of recurrent constrictions and the need for reinterventions. The findings highlight the correlation between postoperative outcomes and survival, further supporting the use of CPB.

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  1. Department of Thoracic and Cardiovascular Surgery, Heart, Vascular and Thoracic Institute, Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH, 44195, USA

    David Moros, Anthony Zaki & Michael Zhen-Yu Tong

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  1. David Moros
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Correspondence to David Moros.

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Michael Zhen-Yu Tong reports consulting and speaking honorarium for Abbott and Abiomed. The other authors declare that they have no conflict of interest.

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Moros, D., Zaki, A. & Tong, M.ZY. Surgical Approaches for Pericardial Diseases: What Is New?. Curr Cardiol Rep 25, 1705–1713 (2023). https://doi.org/10.1007/s11886-023-01986-4

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