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  • Title: Chronic constrictive pericarditis treated with total pericardiectomy.
    Author: Aagaard MT, Haraldsted VY.
    Journal: Thorac Cardiovasc Surg; 1984 Oct; 32(5):311-4. PubMed ID: 6083622.
    Abstract:
    The early and late results of total pericardiectomy performed during a 30-year period in 34 patients with chronic constrictive pericarditis are presented. The overall hospital mortality was 8.8%. The cumulative 5-, 10-, and 30-year survival rates were 79%, 65% and 53%, respectively. Preoperatively, 94% of the patients were classified in functional class III or IV (NYHA classification). After 3 months' follow-up, 94% of the surviving patients were in functional class I or II. After an average 14.2 year follow-up period, 94% of the surviving patients were in functional class I, and of these 72% were in fulltime jobs. It is concluded that the tendency towards early surgery should be encouraged, especially because the chronic state is accompanied by deleterious effects.
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