Taipei Medical University

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
Chen FC
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------>journal_name=Circulation journal
------>paper_name=Clinical characteristics and treatment of constrictive pericarditis in Taiwan
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------>fullAbstract=BACKGROUND: Constrictive pericarditis is an uncommon disease that prevents the normal diastolic filling of the heart and pericardiectomy is the only satisfactory treatment. METHODS AND RESULTS: The clinical characteristics and treatment of patients who underwent pericardiectomy for constrictive pericarditis (n = 23) were reviewed. Surgery was performed via left anterolateral thoracotomy plus transsternal extension in 3 patients, and median sternotomy in 20 patients. There were 2 deaths, resulting in an overall mortality rate of 8.7%. Of the 23 patients, 8 had Mycobacterium tuberculosis (Tb) infection, 2 had streptococcus infection, 1 had strongyloidiasis (Strongyloides stercoralis) and 1 developed the condition after a myocardial infarction; 2 patients underwent pericardial substitute insertion as post-heart surgery, and 3 patients had connective tissue disorders; 6 patients had idiopathic disease. CONCLUSION: These results show that bacterial infection, especially Tb, is a major etiology of constrictive pericarditis in Taiwan and that median sternotomy is an excellent approach for exposing the heart for pericardiectomy.
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------>authors2=Lai CP
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------>authors=Chen FC
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------>updateTitle=Clinical characteristics and treatment of constrictive pericarditis in Taiwan.
------>language=2
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------>no=4
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------>publish_year=2005
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A B C D E F G H I J K L M N O P Q R S T U V W X Y Z