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Pericardial Diseases and Best Practices for Pericardiectomy: JACC State-of-the-Art Review.
Al-Kazaz, Mohamed; Klein, Allan L; Oh, Jae K; Crestanello, Juan A; Cremer, Paul C; Tong, Michael Z; Koprivanac, Marijan; Fuster, Valentin; El-Hamamsy, Ismail; Adams, David H; Johnston, Douglas R.
Afiliação
  • Al-Kazaz M; Bluhm Cardiovascular Institute, Division of Cardiology, Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA. Electronic address: mohamed.alkazaz@northwestern.edu.
  • Klein AL; Center for the Diagnosis and Treatment of Pericardial Diseases, Section of Cardiovascular Imaging, Department of Cardiovascular Medicine, Heart, Vascular, and Thoracic Institute, Cleveland Clinic, Cleveland, Ohio, USA.
  • Oh JK; Department of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota, USA.
  • Crestanello JA; Department of Cardiovascular Surgery, Mayo Clinic, Rochester, Minnesota, USA.
  • Cremer PC; Bluhm Cardiovascular Institute, Division of Cardiology, Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA; Bluhm Cardiovascular Institute, Division of Cardiology, Department of Radiology, Northwestern University Feinberg School of Medicine, Chicago,
  • Tong MZ; Department of Thoracic and Cardiovascular Surgery, Heart, Vascular and Thoracic Institute, Cleveland Clinic, Cleveland, Ohio, USA.
  • Koprivanac M; Department of Thoracic and Cardiovascular Surgery, Heart, Vascular and Thoracic Institute, Cleveland Clinic, Cleveland, Ohio, USA.
  • Fuster V; The Mount Sinai Fuster Heart Hospital, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
  • El-Hamamsy I; Department of Cardiovascular Surgery, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
  • Adams DH; Department of Cardiovascular Surgery, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
  • Johnston DR; Bluhm Cardiovascular Institute, Division of Cardiac Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
J Am Coll Cardiol ; 84(6): 561-580, 2024 Aug 06.
Article em En | MEDLINE | ID: mdl-39084831
ABSTRACT
Remarkable advances have occurred in the understanding of the pathophysiology of pericardial diseases and the role of multimodality imaging in this field. Medical therapy and surgical options for pericardial diseases have also evolved substantially. Pericardiectomy is indicated for chronic or irreversible constrictive pericarditis, refractory recurrent pericarditis despite optimal medical therapy, or partial agenesis of the pericardium with a complication (eg, herniation). A multidisciplinary evaluation before pericardiectomy is essential for optimal patient outcomes. Overall, given the good outcomes reported, radical pericardiectomy on cardiopulmonary bypass, if feasible, is the preferred approach. Due to patient complexity, as well as the technical aspects of the surgery, pericardiectomy should be performed at high-volume centers that have the required expertise. The current review highlights the essential features of this multidisciplinary approach from diagnosis to recovery in patients undergoing pericardiectomy.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Pericardiectomia Limite: Humans Idioma: En Revista: J Am Coll Cardiol Ano de publicação: 2024 Tipo de documento: Article País de publicação: Estados Unidos
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Pericardiectomia Limite: Humans Idioma: En Revista: J Am Coll Cardiol Ano de publicação: 2024 Tipo de documento: Article País de publicação: Estados Unidos