Long-term outcomes of pericardiectomy for XXXX .

@entity1 @entity55 @entity5 @entity3822 @entity2348 @entity1576 @entity378 @entity204
BACKGROUND: @entity3822 is a rare and disabling disease that can result in chronic fibrous thickening of the pericardium. The purpose of this study was to evaluate the long-term outcomes following treatment of @entity3822 by pericardiectomy. METHODS: Between September 1992 and May 2014, 47 @entity1 who underwent pericardiectomy for @entity3822 were retrospectively examined. Demographic, pre-, intra- and postoperative data and long-term outcomes were analyzed. RESULTS: Thirty of the @entity1 were male, the mean age was 45.8        16.7. Aetiology of @entity3822 was @entity378 in 22 (46.8  %) @entity1 , idiopathic in 15 (31.9  %), @entity5 in 3 (6.4  %), prior cardiac surgery in 2 (4.3  %), @entity2348 in 2 (4.3  %), radiotherapy in 1 (2.1  %), uraemia in 1 (2.1  %) and post-traumatic in 1 (2.1  %). The surgical approach was achieved via a median sternotomy in all @entity1 except only 1 @entity1 . The mean operative time was 156.4        45.7  min. Improvement in functional status in 80  % of @entity1 ' at least one New York Heart Association (NYHA) functional class was observed. In-hospital mortality rate was 2.1  % (1 of 47 @entity1 ). The cause of @entity204 was @entity55 leading to progressive @entity1576 . The late mortality rate was 23.4  % (11 of 47 @entity1 ). The mean follow-up time was 61.2        66  months. The actuarial survival rates were 91  %, 85  % and 81  % at 1, 5 and 10  years, respectively. Recurrence requiring a repeat pericardiectomy was developed in no @entity1 during follow-up. CONCLUSION: Pericardiectomy is associated with high morbidity and mortality rates. Cases with @entity5 , diminished cardiac output, cases in need of reoperation are expected to have high mortality rates and less chance of functional recovery.
