Abstract | BACKGROUND: METHODS: Sixty-four patients with constrictive pericarditis who were operated on with de novo radical pericardiectomy through a left anterolateral thoracotomy in our institute were entered into the study. Patients with a Child-Pugh score less than 7 (class A) were assigned to group CP-A (n = 45) and those with a score of 7 or higher (class B or C) were assigned to group CP-BC (n = 19). Actuarial survival of patients after operation was studied in each group, and prognostic factors were analyzed with Cox regression analysis. RESULTS: Survival after radical pericardiectomy in group CP-BC (Child-Pugh score ≥ 7) was significantly worse than in group CP-A (37.9% versus 80.8% for 5-year survival; p = 0.0001, log-rank test). After multivariate Cox analysis, a Child-Pugh score of 7 or more (hazard ratio [HR] 4.316; p = 0.0028), mediastinal irradiation (HR, 23.872; p < 0.0001), age (HR, 1.064; p = 0.0042), and end-stage renal disease (HR, 4.670; p = 0.029) were identified as independent prognostic factors for mortality after radical pericardiectomy. CONCLUSIONS:
|
Authors | Takeshi Komoda, Alexander Frumkin, Christoph Knosalla, Roland Hetzer |
Journal | The Annals of thoracic surgery
(Ann Thorac Surg)
Vol. 96
Issue 5
Pg. 1679-85
(Nov 2013)
ISSN: 1552-6259 [Electronic] Netherlands |
PMID | 23998414
(Publication Type: Journal Article)
|
Copyright | Copyright © 2013 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved. |
Topics |
- Adult
- Aged
- Aged, 80 and over
- Female
- Humans
- Male
- Middle Aged
- Pericardiectomy
- Pericarditis, Constrictive
(mortality, surgery)
- Prognosis
- Retrospective Studies
- Survival Rate
- Young Adult
|