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Risk Factors of Gopaldas et al for Complications After Pericardiectomy

Description

Gopaldas et al identified risk factors for complications following pericardiectomy. This operative procedure can be associated with significant morbidity and mortality. The authors are from the University of Missouri-Columbia and the University of Houston.


 

Patient selection: pericardiectomy

 

Type of pericardial disease requiring pericardiectomy:

(1) calcific pericarditis

(2) acute pericarditis

(3) metastatic cancer

(4) constrictive pericarditis

(5) adhesive pericarditis

(6) other pericardial disorders

 

Risk factors for complications:

(1) older age

(2) female gender

(3) high comorbidity

(4) pericardial diagnosis (see below)

(5) more complex surgery (requiring cardiopulmonary bypass) vs thoracoscopy

 

Calcific pericarditis was associated with a low rate of complications. Constrictive and adhesive pericarditis were associated with the high rate of complications.

 


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Specialty

ICD-10