Pericardiectomy for chronic constrictive XXXX : risks and predictors of survival.

@entity17398 @entity1 @entity998 @entity3822 @entity102 @entity997 @entity955 @entity204 @entity3816
We performed this study to determine the predictors of early and long-term survival in the surgical treatment of @entity17398 and to examine the risks of pericardiectomy and the functional outcome in @entity1 after surgery. A retrospective analysis was undertaken in 36 consecutive @entity1 , 26 female and 10 male, with a mean age 32.2 +/- 16.3, who underwent pericardiectomy for chronic @entity3822 from February 1985 to February 2002. All patients received antitubercular therapy in the postoperative period. The operative mortality rate was 6% (2 @entity1 ); the cause of @entity204 in both cases was severe @entity998 . Nonfatal @entity3816 affected 3 @entity1 (8%). The median stay in the intensive care unit was 3.7 +/- 3.1 days. The median hospital stay was 14 +/- 2.6 days. The median ventilation time was 11.9 +/- 1.8 hours. The median volume of blood transfused was 2.1 +/- 1.6 units. Advanced age, @entity955 , concomitant @entity997 , inotropic support and low cardiac output were significant negative predictors of survival, according to univariate analysis. There were 4 late deaths. Actuarial survival at 5 years was 75.9% +/- 9.14%. At the 1-year follow-up examination, improved functional status was noted in 88% of @entity1 . We suggest that pericardiectomy be performed early and as radically as possible, in an effort to prevent @entity102 . A combination of chemotherapy and surgery yields gratifying results in the treatment of @entity17398 .
