Erschienen in:
08.11.2023 | Pericardial Disease (AL Klein and CL Jellis, Section Editors)
Surgical Approaches for Pericardial Diseases: What Is New?
verfasst von:
David Moros, Anthony Zaki, Michael Zhen-Yu Tong
Erschienen in:
Current Cardiology Reports
|
Ausgabe 12/2023
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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.