KẾT QUẢ ĐIỀU TRỊ PHẪU THUẬT VIÊM MÀNG NGOÀI TIM CO THẮT TẠI BỆNH VIỆN HỮU NGHỊ VIỆT ĐỨC

Abstract

Objectives: To describe clinical and subclinical presentations of constrictive pericarditis and access results of pericardectomy for constrictive pericarditis at Viet Duc university hospital. Material and method: This is a retrospective, descriptive study of patients who underwent pericardiectomy for constrictive pericarditis at Cardiovascular and Thoracic center, Viet Duc University Hospital from 1/2014 to 12/2020. Result: There were 14 patients in total, nine were male (64,3 %). The mean age was 47±19,8. Etiology of constrictive pericarditis was tuberculosis in 6 patients (42,9%) and idiopathic for the remains (57,1%). Extensive pericardectomy was performed in all patients with median sternotomy. The mean operative time was 175±31,3 min. There was no in-hospital mortality and all of patients improved at least one New York Heart Association (NYHA) functional class after surgery. Conclusion: Constrictive pericarditis is a rare disease that can result in chronic fibrous thickening of the pericardium. The use of pericardectomy for constrictive pericarditis was effective and safe.