Early and long-term outcomes of pericardiotomy in the treatment of primary XXXX .

@entity2294 @entity1 @entity5 @entity2293
INTRODUCTION: @entity2293 is a life-threatening clinical entity that requires emergent treatment. A variety of therapeutic methods have been applied. The purpose of this retrospective analysis was to study the efficacy of emergent surgical pericardiotomy in both the relief of @entity2293 and in the prevention of recurrence of @entity2294 . MATERIAL AND METHODS: This study involved 90 consecutive @entity1 (58 males and 32 females) with a mean age of 57.4    14.1 years, who underwent emergent pericardiotomy in the years 2006 to 2011 due to symptomatic primary @entity2293 . At the end of the follow-up period all living subjects had control echocardiographic examination. Survival analysis was performed with the use of the Kaplan-Meier method. RESULTS: The mean duration time of surgery was 14.2    4.5 minutes. All @entity1 survived surgery but one died during in-hospital stay. During the post-discharge follow-up period (median 49 months) 32 @entity1 died for any reason. One-year and four-year probability of survival was 0.68    0.05 and 0.64    0.05, respectively. Malignancy diagnosis was associated with significant negative impact on survival. One-year and four-year probability of survival was 0.56    0.06 and 0.53    0.06 for @entity5 @entity1 while it was 0.93    0.05 and 0.89    0.06 for the others, respectively. In two cases, only @entity5 @entity1 , re-intervention due to effusion recurrence was necessary. CONCLUSIONS: Pericardiotomy, although invasive, is a safe method to relieve @entity2293 . It is also very efficient in the prevention of recurrence of @entity2294 , even in @entity5 @entity1 .
