Konstriktif Perikarditin Cerrahi Tedavisi: Tek Merkezli Bir Deneyim

Yıl 2019, Cilt: 22 Sayı: 1, 37 - 41, 11.04.2019

Taner İyigün , Barış Timur Mugisha Kyaruzi Veysel Kutay

Öz

Giriş: Konstriktif perikardit (KP) nadir ve potansiyel olarak ölümcül bir hastalıktır. Sağ kalp yetmezliğinin
önemli nedenlerinden biridir ve acil müdahale gerektirir. Bu çalışmanın amacı, hastane merkezimizde KP
nedeniyle ameliyat edilen hastaların kısa ve orta dönem sonuçlarını araştırmaktır.

Hastalar ve Yöntem: Merkezimizde KP nedeniyle perikardiyektomi uygulanan 27 hastanın verileri değerlendirildi. Klinik bulgular, görüntüleme modaliteleri, cerrahi teknik ve takip sonuçları retrospektif olarak
değerlendirildi.

Bulgular: Hastalarımızın yaş ortalaması 49.78 idi. Hastalarımızın en sık görülen semptomu dispne idi. Fiziksel muayene sırasında periferik ödem en sık görülen işaretti. Ortalama perikardiyum kalınlığı 3.4 mm ile 6.6
mm arasında değişmekteydi. Toplam 15 (%55.6) hastada perikardiyektomi, 12 (%44.4) hastada parsiyel perikardiyektomi uygulandı. Eşlik eden kardiyak cerrahi ile perikardiyektomi 5 (%18.5) hastada perfüze edildi.
Maalesef postoperatif mortalite 4 (%14.8) hastada meydana geldi.

Sonuç: Perikardın cerrahi olarak çıkarılması, bazı serilerde bildirilen yüksek mortalite oranlarına rağmen
KP'li hastalarda tercih edilmesi gereken bir tedavi yöntemidir.

Anahtar Kelimeler

Konstriktif perikardit, perikardiyektomi, mortalite

Surgical Treatment of Constrictive Pericarditis: a Single-Center Experience

Öz

Introduction:
Constrictive pericarditis (CP) is a rare and potentially lethal disease. It is
one of the important reasons of the right-sided heart failure, and it requires
immediate intervention. The aim of this study was to investigate the short-term
and mid-term results in patients who were operated for CP in our hospital
center.

Patients and Methods:
We evaluated data of 27 patients who underwent pericardiectomy due to CP in our
center. Clinical findings, results of imaging modalities, the surgical
technique, and the follow-up were retrospectively evaluated.

Results: The mean age
of our patients was 49.78 years. The most common symptom was dyspnea.
Peripheral edema was the most common sign during the physical examination. The
mean pericardium thickness ranged between 3.4 mm and 6.6 mm in diameter. Total
pericardiectomy was performed in 15 patients (55.6%), while partial
pericardiectomy was performed in 12 patients (44.4%). Pericardiectomy with
concomitant cardiac surgery was performed in 5 patients (18.5%). Unfortunately,
postoperative mortality occurred in 4 patients (14.8%).

Conclusion: Surgical
removal of pericardium is a treatment modality that should be preferred in
patients with CP, despite high mortality rates reported in some series.

Anahtar Kelimeler

Constrictive pericarditis, pericardiectomy, mortality

Kaynakça

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