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Pericardiectomy and Pericardial Window for the Treatment of Pericardial Disease in the Contemporary Era

  • Pericardial Disease (AL Klein and CL Jellis, Section Editors)
  • Published:
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Abstract

Purpose of Review

To summarize the contemporary practice of pericardiectomy and pericardial window. We discuss the indications, preoperative planning, procedural aspects, postprocedural management, and outcomes of each procedure.

Recent Findings

Surgical approaches for the treatment of pericardial disease have been around even before the emergence of cardiopulmonary bypass. Since the forthcoming of cardiopulmonary bypass, there have been significant changes in the epidemiology and diagnostic approach of pericardial diseases as well as advancements in the surgical techniques and perioperative management used in the care of these patients.

Summary

Pericardiectomy has an average mortality of almost 7% and is typically performed in patients with advanced symptoms from constrictive pericarditis and relatively few comorbidities. Pericardial window is a safe procedure for the treatment of pericardial effusion that can be performed with different approaches.

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References

  1. Larrey DJ. New surgical procedure to open the pericardium in case of fluid in its cavity. Clin Chir [Internet]. 1829;2:303–7. Available from: https://ci.nii.ac.jp/naid/10019441544

  2. Rehn L. Ueber pericardiale Verwachsungen. Med Klin [Internet]. 1920;16:991. Available from: https://scholar.google.com/scholar_lookup?title=Ueber

  3. Chiabrando JG, Bonaventura A, Vecchié A, Wohlford GF, Mauro AG, Jordan JH, et al. Management of Acute and Recurrent Pericarditis: JACC State-of-the-Art Review. J Am Coll Cardiol. 2020;75(1):76–92.

    Article  CAS  Google Scholar 

  4. Tzani A, Doulamis IP, Tzoumas A, Avgerinos D V, Koudoumas D, Siasos G, et al. Meta-Analysis of Population Characteristics and Outcomes of Patients Undergoing Pericardiectomy for Constrictive Pericarditis. Am J Cardiol [Internet]. 2021;146:120–7. Available from: http://www.ajconline.org/article/S0002914921001041/fulltext

  5. Gatti G, Fiore A, Ternacle J, Porcari A, Fiorica I, Poletti A, et al. Pericardiectomy for constrictive pericarditis: a risk factor analysis for early and late failure. Hear Vessel 2019 351 [Internet]. 2019;35(1):92–103. Available from: https://link.springer.com/article/10.1007/s00380-019-01464-4

  6. Gopaldas RR, Dao TK, Caron NR, Markley JG. Predictors of in-hospital complications after pericardiectomy: A nationwide outcomes study. J Thorac Cardiovasc Surg [Internet]. 2013;145(5):1227–33. Available from: http://www.jtcvs.org/article/S0022522312004308/fulltext

  7. Avgerinos D, Rabitnokov Y, Worku B, Neragi-Miandoab S, Girardi LN. Fifteen-year experience and outcomes of pericardiectomy for constrictive pericarditis. J Card Surg. 2014;29(4):434–8.

    Article  Google Scholar 

  8. Rupprecht L, Putz C, Flörchinger B, Zausig Y, Camboni D, Unsöld B, et al. Pericardiectomy for Constrictive Pericarditis: An Institution’s 21 Years Experience. Thorac Cardiovasc Surg. 2017;66(8):645–50.

    Article  Google Scholar 

  9. Chowdhury UK, Subramaniam GK, Kumar AS, Airan B, Singh R, Talwar S, et al. Pericardiectomy for constrictive pericarditis: a clinical, echocardiographic, and hemodynamic evaluation of two surgical techniques. Ann Thorac Surg [Internet]. 2006;81(2):522–9. Available from: https://pubmed.ncbi.nlm.nih.gov/16427843/

  10. Murashita T, Schaff HV, Daly RC, Oh JK, Dearani JA, Stulak JM, et al. Experience With Pericardiectomy for Constrictive Pericarditis Over Eight Decades. Ann Thorac Surg. 2017;104(3):742–50.

    Article  Google Scholar 

  11. Tokuda Y, Miyata H, Motomura N, Araki Y, Oshima H, Usui A, et al. Outcome of Pericardiectomy for Constrictive Pericarditis in Japan: A Nationwide Outcome Study. Ann Thorac Surg. 2013;96(2):571–6.

    Article  Google Scholar 

  12. Welch TD. Constrictive pericarditis: diagnosis, management and clinical outcomes. Heart [Internet]. 2018;104(9):725–31. Available from: https://heart.bmj.com/content/104/9/725

  13. Alajaji W, Xu B, Sripariwuth A, Menon V, Kumar A, Schleicher M, et al. Noninvasive Multimodality Imaging for the Diagnosis of Constrictive Pericarditis. Circ Cardiovasc Imaging. 2018;11(11): e007878.

    Article  Google Scholar 

  14. Unai S, Johnston DR. Radical Pericardiectomy for Pericardial Diseases. Curr Cardiol Rep. 2019;21(2):1–6.

    Article  Google Scholar 

  15. Yamada H, Tabata T, Jaffer SJ, Drinko JK, Jasper SE, Lauer MS, et al. Clinical features of mixed physiology of constriction and restriction: Echocardiographic characteristics and clinical outcome. Eur J Echocardiogr. 2007;8(3):185–94.

    Article  Google Scholar 

  16. Adler Y, Charron P, Imazio M, Badano L, Barón-Esquivias G, Bogaert J, et al. ESC Guidelines for the diagnosis and management of pericardial diseasesThe Task Force for the Diagnosis and Management of Pericardial Diseases of the European Society of Cardiology (ESC)Endorsed by: The European Association for Cardio-Thoracic Surger. Eur Heart J [Internet]. 2015;36(42):2921–64. Available from: https://academic.oup.com/eurheartj/article/36/42/2921/2293375

  17. Bertog SC, Thambidorai SK, Parakh K, Schoenhagen P, Ozduran V, Houghtaling PL, et al. Constrictive pericarditis: etiology and cause-specific survival after pericardiectomy. J Am Coll Cardiol. 2004;43(8):1445–52.

    Article  Google Scholar 

  18. Kang SH, Song JM, Kim M, Choo SJ, Chung CH, Kang DH, et al. Prognostic predictors in pericardiectomy for chronic constrictive pericarditis. J Thorac Cardiovasc Surg [Internet]. 2014;147(2):598–605. Available from: http://www.jtcvs.org/article/S0022522313000500/fulltext

  19. Busch C, Penov K, Amorim PA, Garbade J, Davierwala P, Schuler GC, et al. Risk factors for mortality after pericardiectomy for chronic constrictive pericarditis in a large single-centre cohort. Eur J Cardio-Thoracic Surg [Internet]. 2015;48(6):e110–e116. Available from: https://academic.oup.com/ejcts/article/48/6/e110/2755306

  20. George TJ, Arnaoutakis GJ, Beaty CA, Kilic A, Baumgartner WA, Conte JV. Contemporary Etiologies, Risk Factors, and Outcomes After Pericardiectomy. Ann Thorac Surg [Internet]. 2012;94(2):445–51. Available from: http://www.annalsthoracicsurgery.org/article/S0003497512006972/fulltext

  21. Chetrit M, Xu B, Verma BR, Klein AL. Multimodality imaging for the assessment of pericardial diseases. Curr Cardiol Reports 2019 215 [Internet]. 2019;21(5):1–12. Available from: https://link.springer.com/article/10.1007/s11886-019-1115-y

  22. Welch TD, Oh JK. Constrictive Pericarditis. Cardiol Clin [Internet]. 2017;35(4):539–49. Available from: https://doi.org/10.1016/j.ccl.2017.07.007

  23. Hirshfeld JW, Johnston-Cox H. Distinguishing constrictive pericarditis fromrestrictive cardiomyopathy—An ongoing diagnostic challenge. JAMA Cardiol. 2022;5681;7(1).

  24. Kusunose K, Dahiya A, Popović ZB, Motoki H, Alraies MC, Zurick AO, et al. Biventricular mechanics in constrictive pericarditis comparison with restrictive cardiomyopathy and impact of pericardiectomy. Circ Cardiovasc Imaging. 2013;6(3):399–406.

    Article  Google Scholar 

  25. Vistarini N, Chen C, Mazine A, Bouchard D, Hebert Y, Carrier M, et al. Pericardiectomy for Constrictive Pericarditis: 20 Years of Experience at the Montreal Heart Institute. Ann Thorac Surg. 2015;100(1):107–13.

    Article  Google Scholar 

  26. Gillaspie EA, Stulak JM, Daly RC, Greason KL, Joyce LD, Oh J, et al. A 20-year experience with isolated pericardiectomy: Analysis of indications and outcomes. J Thorac Cardiovasc Surg [Internet]. 2016;152(2):448–58. Available from: http://www.jtcvs.org/article/S002252231630280X/fulltext

  27. Zhu P, Mai M, Wu R, Lu C, Fan R, Zheng S. Pericardiectomy for constrictive pericarditis: Single-center experience in China. J Cardiothorac Surg [Internet]. 2015;10(1):1–5. Available from: https://cardiothoracicsurgery.biomedcentral.com/articles/10.1186/s13019-015-0237-6

  28. Acharya A, Koirala R, Rajbhandari N, Sharma J, Rajbanshi B. Anterior pericardiectomy for postinfective constrictive pericarditis: intermediate-term outcomes. Ann Thorac Surg [Internet]. 2018;106(4):1178–81. Available from: http://www.annalsthoracicsurgery.org/article/S0003497518306775/fulltext

  29. Di Lazzaro D, Di Bella I, Pasquino S, Berti V, Da Col U. Pericardiectomy for constrictive pericarditis. Multimed Man Cardiothorac Surg MMCTS. 2020;2020.

  30. Ong CS, Sundt TM. Principles of radical pericardiectomy. Interact Cardiovasc Thorac Surg [Internet]. 2020;31(3):422. Available from: https://academic.oup.com/icvts/article/31/3/422/5880233

  31. Hemmati P, Greason KL, Schaff HV. Contemporary Techniques of Pericardiectomy for Pericardial Disease. Cardiol Clin. 2017;35(4):559–66.

    Article  Google Scholar 

  32. Chowdhury UK, Seth S, Reddy SM. Pericardiectomy for Chronic Constrictive Pericarditis via Left Anterolateral Thoracotomy. Oper Tech Thorac Cardiovasc Surg. 2008;13(1):14–25.

    Article  Google Scholar 

  33. Liu VC, Fritz A V, Burtoft MA, Martin AK, Greason KL, Ramakrishna H. Pericardiectomy for constrictive pericarditis: analysis of outcomes. J Cardiothorac Vasc Anesth [Internet]. 2021;35(12):3797–805. Available from: http://www.jcvaonline.com/article/S1053077021001154/fulltext

  34. Yunfei L, Tao L, Yongjun Q. Re-pericardiectomy for recurrent chronic constrictive pericarditis: Left anterolateral thoracotomy is a better approach. J Cardiothorac Surg [Internet]. 2019;14(1). Available from: https://pubmed.ncbi.nlm.nih.gov/31439013/

  35. Heimbecker RO, Smith D, Shimizu S, Kestle J. Surgical technique for the management of constrictive epicarditis complicating constrictive pericarditis (the waffle procedure). Ann Thorac Surg [Internet]. 1983;36(5):605–6. Available from: https://pubmed.ncbi.nlm.nih.gov/6639198/

  36. Kiamanesh O, Luk A, Nesbitt GC, Badiwala M, Mak S. Pericardial waffle for effusive-constrictive pericarditis. ESC Hear Fail. 2020;7(5):3213–4.

    Article  Google Scholar 

  37. Fang L, Zheng H, Yu W, Chen G, Zhong F. Effects of Intraoperative Fluid Management on Postoperative Outcomes After Pericardiectomy. Front Surg. 2021;8:298.

    Article  Google Scholar 

  38. Chowdhury UK, Kapoor PM, Rizvi A, Malik V, Seth S, Narang R, et al. Serial Semi-invasive Hemodynamic Assessment following Pericardiectomy for Chronic Constrictive Pericarditis. Ann Card Anaesth [Internet]. 2017;20(2):169. Available from: https://ncbi.nlm.nih.gov/pmc/articles/PMC5408521

  39. Azzu A, Morosin M, Antonopoulos AS, Capoccia M, Rosendahl U, Mohiaddin R. Cardiac decompression by pericardiectomy for constrictive pericarditis: Multimodality imaging to identify patients at risk for prolonged inotropic support. J Cardiovasc Imaging [Internet]. 2021;29(4):361–72. Available from: https://doi.org/10.4250/jcvi.2020.0223

  40. Tabucanon RS, Wang TKM, Chetrit M, Furqan MM, Chan N, Pande A, et al. Worsened tricuspid regurgitation following pericardiectomy for constrictive pericarditis. Circ Cardiovasc Imaging. 2021;14(10): e012948.

    Article  Google Scholar 

  41. Calderon-Rojas RD, Greason KL, King KS, Luis SA, Oh JK, Stulak JM, et al. Outcomes of tricuspid valve operation at the time of pericardiectomy for constrictive pericarditis. Ann Thorac Surg [Internet]. 2021;111(4):1252–7. Available from: http://www.annalsthoracicsurgery.org/article/S0003497520314570/fulltext

  42. Calderon-Rojas R, Greason KL, King KS, Oh JK, Stulak JM, Daly RC, et al. Tricuspid valve regurgitation in patients undergoing pericardiectomy for constrictive pericarditis. Semin Thorac Cardiovasc Surg [Internet]. 2020;32(4):721–8. Available from: http://www.semthorcardiovascsurg.com/article/S1043067920300526/fulltext

  43. Beckmann E, Ismail I, Cebotari S, Busse A, Martens A, Shrestha M, et al. Right-sided heart failure and extracorporeal life support in patients undergoing pericardiectomy for constrictive pericarditis: A risk factor analysis for adverse outcome. Thorac Cardiovasc Surg [Internet]. 2017;65(8):662–70. Available from: https://pubmed.ncbi.nlm.nih.gov/27855469/

  44. Mutyaba AK, Balkaran S, Cloete R, Du Plessis N, Badri M, Brink J, et al. Constrictive pericarditis requiring pericardiectomy at Groote Schuur Hospital, Cape Town, South Africa: Causes and perioperative outcomes in the HIV era (1990–2012). J Thorac Cardiovasc Surg [Internet]. 2014;148(6):3058–3065.e1. Available from: http://www.jtcvs.org/article/S0022522314010381/fulltext

  45. Mori M, Mullan CW, Bin Mahmood SU, Yousef S, Pelletier KJ, Mangi AA, et al. US National trends in the management and outcomes of constrictive pericarditis: 2005–2014. Can J Cardiol [Internet]. 2019;35(10):1394–9. Available from: http://www.onlinecjc.ca/article/S0828282X19303496/fulltext

  46. Khandaker MH, Schaff H V, Greason KL, Anavekar NS, Espinosa RE, Hayes SN, et al. Pericardiectomy vs medical management in patients with relapsing pericarditis. Mayo Clin Proc [Internet]. 2012;87(11):1062. Available from: https://ncbi.nlm.nih.gov/pmc/articles/PMC3541868/

  47. Lin X, Xu R-Y, Liu J-Z, Chen W, Chen L-F, Yang P-H, et al. Effect of right heart systolic function on outcomes in patients with constrictive pericarditis undergoing pericardiectomy. Chin Med J (Engl) [Internet]. 2016;129(2):154–61. Available from: https://pubmed.ncbi.nlm.nih.gov/26830985/

  48. Kloster FE, Crislip RL, Bristow JD, Herr RH, Ritzmann LW, Griswold HE. Hemodynamic studies following pericardiectomy for constrictive pericarditis. Circulation [Internet]. 1965;32(3):415–24. Available from: https://www.ahajournals.org/doi/abs/10.1161/01.CIR.32.3.415

  49. Stray-Gundersen J, Musch TI, Haidet GC, Swain DP, Ordway GA, Mitchell JH. The effect of pericardiectomy on maximal oxygen consumption and maximal cardiac output in untrained dogs. Circ Res [Internet]. 1986;58(4):523–30. Available from: https://www.ahajournals.org/doi/abs/10.1161/01.res.58.4.523

  50. Hammond HK, White FC, Bhargava V, Shabetai R. Heart size and maximal cardiac output are limited by the pericardium. https://doi.org/10.1152/ajpheart.1992.263.6.H1675 [Internet]. 1992;263(6 32–6). Available from: https://journals.physiology.org/doi/abs/10.1152/ajpheart.1992.263.6.H1675

  51. Kim JS, Ha JW, Im E, Park S, Choi EY, Cho YH, et al. Effects of pericardiectomy on early diastolic mitral annular velocity in patients with constrictive pericarditis. Int J Cardiol [Internet]. 2009;133(1):18–22. Available from: http://www.internationaljournalofcardiology.com/article/S0167527307020724/fulltext

  52. Kumar M, Padhy A, Munjal R, Gupta A. Short term clinical and echocardiography outcomes of pericardiectomy in constrictive pericarditis. J Cardiovasc Thorac Res [Internet]. 2021;13(2):169–73. Available from: https://pubmed.ncbi.nlm.nih.gov/34326972/

  53. Veress G, Ling LH, Kim KH, Dal-Bianco JP, Schaff H V, Espinosa RE, et al. Mitral and tricuspid annular velocities before and after pericardiectomy in patients with constrictive pericarditis. Circ Cardiovasc Imaging [Internet]. 2011;4(4):399–407. Available from: https://www.ahajournals.org/doi/abs/10.1161/CIRCIMAGING.110.959619

  54. Kapoor PM, Aggarwal V, Chowdhury U, Choudhury M, Singh SP, Kiran U. Comparison of B-type natriuretic peptide and left ventricular dysfunction in patients with constrictive pericarditis undergoing pericardiectomy. Ann Card Anaesth [Internet]. 2010;13(2):123. Available from: https://www.annals.in/article.asp?issn=0971-9784;year=2010;volume=13;issue=2;spage=123;epage=129;aulast=Kapoor

  55. Negishi K, Popović ZB, Negishi T, Motoki H, Alraies MC, Chirakarnjanakorn S, et al. Pericardiectomy is associated with improvement in longitudinal displacement of left ventricular free wall due to increased counterclockwise septal-to-lateral rotational displacement. J Am Soc Echocardiogr [Internet]. 2015;28(10):1204--1213.e2. Available from: http://www.onlinejase.com/article/S0894731715003831/fulltext

  56. Li L, Deng Y Bin, Liu K, Guo LD, Liu HY, Zhou W, et al. Long-term effects of pericardiectomy on left ventricular mechanics evaluated by using speckle tracking echocardiography in patients with constrictive pericarditis. Ultrasound Med Biol [Internet]. 2016;42(2):421–9. Available from: http://www.umbjournal.org/article/S0301562915006390/fulltext

  57. Li L, Deng Y Bin, Guo LD, Liu K, Zhang J, Tang QY. Evaluation of long-term impact of pericardiectomy on left atrial functions in patients with constrictive pericarditis using speckle tracking echocardiography. Ultrasound Med Biol [Internet]. 2020;46(5):1158–68. Available from: http://www.umbjournal.org/article/S0301562920300466/fulltext

  58. Motoki H, Alraies MC, Dahiya A, Saraiva RM, Hanna M, Marwick TH, et al. Changes in Left Atrial Mechanics Following Pericardiectomy for Pericardial Constriction. J Am Soc Echocardiogr [Internet]. 2013;26(6):640–8. Available from: http://www.onlinejase.com/article/S0894731713001387/fulltext

  59. Imazio M, Adler Y. Management of pericardial effusion. Eur Heart J [Internet]. 2013;34(16):1186–97. Available from: https://academic.oup.com/eurheartj/article/34/16/1186/452092

  60. Imazio M, Gaita F, LeWinter M. Evaluation and Treatment of Pericarditis: A Systematic Review. JAMA [Internet]. 2015;314(14):1498–506. Available from: https://jamanetwork.com/journals/jama/fullarticle/2456172

  61. Imazio M, Mayosi BM, Brucato A, Markel G, Trinchero R, Spodick DH, et al. Triage and management of pericardial effusion. J Cardiovasc Med [Internet]. 2010;11(12):928–35. Available from: https://journals.lww.com/jcardiovascularmedicine/Fulltext/2010/12000/Triage_and_management_of_pericardial_effusion.8.aspx

  62. Laham RJ, Cohen DJ, Kuntz RE, Baim DS, Lorell BH, Simons M. Pericardial effusion in patients with cancer: outcome with contemporary management strategies. Heart [Internet]. 1996;75(1):67–71. Available from: https://heart.bmj.com/content/75/1/67

  63. McDonald JM, Meyers BF, Guthrie TJ, Battafarano RJ, Cooper JD, Patterson GA, et al. Comparison of open subxiphoid pericardial drainage with percutaneous catheter drainage for symptomatic pericardial effusion. Ann Thorac Surg [Internet]. 2003;76(3):811–6. Available from: http://www.annalsthoracicsurgery.org/article/S0003497503006659/fulltext

  64. Park JS, Rentschler R, Wilbur D. Surgical management of pericardial effusion in patients with malignancies. Comparison of subxiphoid window versus pericardiectomy. Cancer. 1991;67(1):76–80.

  65. Horr SE, Mentias A, Houghtaling PL, Toth AJ, Blackstone EH, Johnston DR, et al. Comparison of outcomes of pericardiocentesis versus surgical pericardial window in patients requiring drainage of pericardial effusions. Am J Cardiol [Internet]. 2017;120(5):883–90. Available from: https://doi.org/10.1016/j.amjcard.2017.06.003

  66. Madhivathanan PR, Corredor C, Smith A. Perioperative implications of pericardial effusions and cardiac tamponade. BJA Educ [Internet]. 2020;20(7):226. Available from: https://ncbi.nlm.nih.gov/pmc/articles/PMC7808091/

  67. Moores DWO, Allen KB, Faber LP, Dziuban SW, Gillman DJ, Warren WH, et al. Subxiphoid pericardial drainage for pericardial tamponade. J Thorac Cardiovasc Surg. 1995;109(3):546–52.

    Article  CAS  Google Scholar 

  68. O’Brien PKH, Kucharczuk JC, Marshall MB, Friedberg JS, Chen Z, Kaiser LR, et al. Comparative study of subxiphoid versus video-thoracoscopic pericardial “Window.” Ann Thorac Surg [Internet]. 2005;80(6):2013–9. Available from: http://www.annalsthoracicsurgery.org/article/S0003497505009550/fulltext

  69. Warren WH. Malignancies involving the pericardium. Semin Thorac Cardiovasc Surg [Internet]. 2000;12(2):119–29. Available from: https://doi.org/10.1053/ct.2000.5078

  70. Mack MJ, Landreneau RJ, Hazelrigg SR, Acuff TE. Video thoracoscopic management of benign and malignant pericardial effusions. Chest [Internet]. 1993;103(4 Suppl):390S–393S. Available from: https://pubmed.ncbi.nlm.nih.gov/8462331/

  71. Celik S, Celik M, Aydemir B, Tanrikulu H, Okay T, Tanrikulu N. Surgical properties and survival of a pericardial window via left minithoracotomy for benign and malignant pericardial tamponade in cancer patients. World J Surg Oncol [Internet]. 2012;10:123. Available from: https://ncbi.nlm.nih.gov/pmc/articles/PMC3499191/

  72. Bhardwaj R, Gharib W, Gharib W, Warden B, Jain A. Evaluation of safety and feasibility of percutaneous balloon pericardiotomy in hemodynamically significant pericardial effusion (Review of 10-Years Experience in Single Center). J Interv Cardiol [Internet]. 2015;28(5):409–14. Available from: https://pubmed.ncbi.nlm.nih.gov/26345593/

  73. Irazusta FJ, Jiménez-Valero S, Gemma D, Meras P, Galeote G, Sanchez-Recalde A, et al. Percutaneous balloon pericardiotomy: Treatment of choice in patients with advanced oncological disease and severe pericardial effusion. Cardiovasc Revascularization Med. 2017;18(5):S14–7.

    Article  Google Scholar 

  74. Ruiz-García J, Jiménez-Valero S, Moreno R, Galeote G, Sánchez-Recalde Á, Calvo L, et al. Percutaneous balloon pericardiotomy as the initial and definitive treatment for malignant pericardial effusion. Rev Esp Cardiol (Engl Ed) [Internet]. 2013;66(5):357–63. Available from: https://pubmed.ncbi.nlm.nih.gov/24775817/

  75. Swanson N, Mirza I, Wijesinghe N, Devlin G. Primary percutaneous balloon pericardiotomy for malignant pericardial effusion. Catheter Cardiovasc Interv [Internet]. 2008;71(4):504–7. Available from: https://onlinelibrary.wiley.com/doi/full/10.1002/ccd.21431

  76. Toth I, Szucs G, Molnar TF. Mediastinoscope-controlled parasternal fenestration of the pericardium: definitive surgical palliation of malignant pericardial effusion. J Cardiothorac Surg [Internet]. 2012;7(1):1–6. Available from: https://cardiothoracicsurgery.biomedcentral.com/articles/10.1186/1749-8090-7-56

  77. Molnar TF, Biki B, Horváth ÖP. Pericardioperitoneal shunt: further development of the procedure using vats technique. Ann Thorac Surg [Internet]. 2002;74(2):593–5. Available from: http://www.annalsthoracicsurgery.org/article/S0003497502036263/fulltext

  78. Molnar TF, Jeyasingham K. Pericardioperitoneal Shunt for Persistent Pericardial Effusions: A New Drainage Procedure. Ann Thorac Surg. 1992;54:569–70.

    Article  CAS  Google Scholar 

  79. Watarida S, Shiraishi S, Matsubayashi K, Imura M, Nishi T. Pericardial-peritoneal window for chronic exudative pericarditis using a subxiphoidal approach: Report of three cases. Surg Today. 2002;32(5):410–3.

    Article  Google Scholar 

  80. Dosios T, Theakos N, Angouras D, Asimacopoulos P. Risk factors affecting the survival of patients with pericardial effusion submitted to subxiphoid pericardiostomy. Chest [Internet]. 2003;124(1):242–6. Available from: https://pubmed.ncbi.nlm.nih.gov/12853529/

  81. Gregory JR, McMurtrey MJ, Mountain CF. A surgical approach to the treatment of pericardial effusion in cancer patients. Am J Clin Oncol [Internet]. 1985;8(4):319–23. Available from: https://pubmed.ncbi.nlm.nih.gov/4083262/

  82. Vandyke WH, Cure J, Chakko CS, Gheorghiade M. Pulmonary edema after pericardiocentesis for cardiac tamponade. N Engl J Med [Internet]. 1983;309(10):595–6. Available from: https://pubmed.ncbi.nlm.nih.gov/6877287/

  83. Pradhan R, Okabe T, Yoshida K, Angouras DC, DeCaro MV, Marhefka GD. Patient characteristics and predictors of mortality associated with pericardial decompression syndrome: a comprehensive analysis of published cases. Eur Hear J Acute Cardiovasc Care [Internet]. 2015;4(2):113–20. Available from: https://academic.oup.com/ehjacc/article/4/2/113/5922028

  84. Mizukami Y, Ueda N, Adachi H, Arikura J, Kondo K. Long-term outcomes after video-assisted thoracoscopic pericardiectomy for pericardial effusion. Ann Thorac Cardiovasc Surg [Internet]. 2017;23(6):304–8. Available from: https://pubmed.ncbi.nlm.nih.gov/28794388/

  85. Virk SA, Chandrakumar D, Villanueva C, Wolfenden H, Liou K, Cao C. Systematic review of percutaneous interventions for malignant pericardial effusion. Heart [Internet]. 2015;101(20):1619–26. Available from: https://heart.bmj.com/content/101/20/1619

  86. Harvey J. Radiopedia: Pericardial calcification. https://radiopaedia.org/cases/pericardial-calcification.

  87. Garcia MJ. Constrictive pericarditis versus restrictive cardiomyopathy? J Am Coll Cardiol [Internet]. 2016;67(17):2061–76. Available from: https://doi.org/10.1016/j.jacc.2016.01.076

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Authors and Affiliations

  1. Department of Cardiothoracic Surgery, Cleveland Clinic Foundation, Cleveland, OH, USA

    Nicholas A. Oh

  2. Division of Cardiology, New York Presbyterian Hospital, Columbia University Irving Medical Center, 177 Fort Washington Av, New York, NY, 10032, USA

    Carolyn Hennecken & Polydoros N. Kampaktsis

  3. The Johns Hopkins Hospital and School of Medicine, Helen B. Taussig Heart Center, Baltimore, MD, USA

    Jef Van den Eynde

  4. Department of Cardiovascular Sciences, KU Leuven, Louvain, Belgium

    Jef Van den Eynde

  5. Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA

    Ilias P. Doulamis

  6. Third Department of Adult Cardiac Surgery, Onassis Cardiac Surgery Center, Athens, Greece

    Dimitrios V. Avgerinos

Authors
  1. Nicholas A. Oh
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  2. Carolyn Hennecken
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  3. Jef Van den Eynde
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  4. Ilias P. Doulamis
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  5. Dimitrios V. Avgerinos
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  6. Polydoros N. Kampaktsis
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Corresponding author

Correspondence to Polydoros N. Kampaktsis.

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Oh, N.A., Hennecken, C., Van den Eynde, J. et al. Pericardiectomy and Pericardial Window for the Treatment of Pericardial Disease in the Contemporary Era. Curr Cardiol Rep 24, 1619–1631 (2022). https://doi.org/10.1007/s11886-022-01773-7

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