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Intercostal thoracoscopic pericardiectomy in left lateral recumbency: A cadaveric study of feasibility, efficiency, and extent of pericardial resection.
Vet Surg
January 2025
Department of Clinical Sciences, College of Veterinary Medicine, North Carolina State University, Raleigh, North Carolina, USA.
Objective: To describe the feasibility, efficiency, and extent of thoracoscopic pericardiectomy (TP) on a ventilated dog with an intercostal approach in lateral recumbency (ILR), in comparison with the traditional transdiaphragmatic paraxiphoid approach in dorsal recumbency (PDR).
Study Design: Randomized experimental study.
Animals: Twenty canine cadavers (n = 10 per group).
Mulibrey Nanism: A Case with Heart Failure.
Turk Kardiyol Dern Ars
September 2024
Department of Cardiology, Ankara Bilkent City Hospital, Ankara, Türkiye.
Mulibrey Nanism is a rare genetic disorder characterized by a variety of systemic manifestations, including cardiac involvement. We report the case of a 26-year-old male who underwent partial pericardiectomy for constrictive pericarditis at age 4 and presented to our cardiology clinic with heart failure symptoms. Examination revealed dysmorphic features characteristic of Mulibrey Nanism such as short stature, macrocephaly, and hypertelorism.
View Article and Find Full Text PDFPericardial Diseases and Best Practices for Pericardiectomy: JACC State-of-the-Art Review.
J Am Coll Cardiol
August 2024
Bluhm Cardiovascular Institute, Division of Cardiac Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
Article Synopsis
- Recent advances in understanding pericardial diseases and the use of multimodal imaging have significantly improved the diagnosis and treatment approaches.
- Pericardiectomy is advised for serious cases like chronic constrictive pericarditis and requires a team of specialists for the best patient outcomes.
- Performing radical pericardiectomy at high-volume medical centers with skilled staff enhances the likelihood of a successful surgery and recovery.
Outcomes and Risk Factors Associated with Pericardiectomy in Patients with Constrictive Pericarditis: A Retrospective Study from China.
Ann Thorac Cardiovasc Surg
May 2024
Cardiac Surgery Department, Peking University International Hospital, Beijing, China.
Article Synopsis
- Pericardiectomy is the main treatment for constrictive pericarditis but carries significant risks; this study reviews its mid-term outcomes from a Chinese single center.
- A total of 86 patients, mostly middle-aged men with idiopathic conditions, underwent the procedure, revealing a 5.8% 30-day mortality and 1-year and 5-year survival rates of 88.3% and 83.5%, respectively.
- Key risk factors for higher mortality included preoperative moderate mitral insufficiency and partial pericardiectomy.
Wide en-bloc thymectomy and venous axis reconstruction in Masaoka stage IIIB thymoma: a case report and literature review.
J Surg Case Rep
May 2024
Department of Thoracic Surgery, Al-Assad university Hospital, Faculty of Medicine, Damascus University, Damascus, Syria.
Thymomas are rare tumors originating from thymic tissue and rarely metastasize. They can be diagnosed either incidentally or symptomatically when compressing or invading nearby structure. A 36-year-old man presented with significant high-grade fever, chest pain that worsens upon lying down, and dyspnea.
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