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Revista Cubana de Cirugía

versión impresa ISSN 0034-7493

Resumen

ARMAS PEREZ, Bárbaro Agustín et al. Review and experience in five cases of extensive pericardiectomy. Rev Cubana Cir [online]. 2011, vol.50, n.4, pp.438-450. ISSN 0034-7493.

Objective: to describe the evolution of the cases treated by constrictive pericarditis. Methods: a retrospective study was performed in five cases treated by chronological order due to constrictive pericarditis in the hospitals "Amalia Simoni" of Camagüey province (4) and "Martin Chang Puga" of Nuevitas municipality (1) in 5 years (2004-2008) whose main surgical indication was the clinical evidence of cardiac tamponage. Results: mean age was of 49 years (range 36-68), four male patients in four of the leakage was serohematinic and another purulent type. In a patient there was a barrier heart with calcifications. Etiology was post-traumatic, acute infection and pericardial metastasis in a case each. In two patients extrapulmonary pericardial tuberculosis was not confirmed, although it could correspond. The thorax approach was mainly by left anterior thoracotomy and the procedure was an extensive pericardiectomy, previous pericardial puncture. From 5 cases, three patients were discharged alive and two dyed. Conclusions: patients presenting with constrictive pericarditis, leakage and signs of cardiac tamponage must to be treated with pericardiocentesis and the extensive pericardiectomy, when be prescribed. This is a good therapeutic option.

Palabras clave : chronic constrictive pericarditis; pericarditis; pericardial leakage; pericardiectomy.

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