{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T22:15:18Z","timestamp":1787350518473,"version":"build-2736575974"},"reference-count":11,"publisher":"Cambridge University Press (CUP)","issue":"4","license":[{"start":{"date-parts":[[2013,7,10]],"date-time":"2013-07-10T00:00:00Z","timestamp":1373414400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cardiol Young"],"published-print":{"date-parts":[[2014,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Between January, 2002 and December, 2011, 27 patients (19 boys) underwent pericardiectomy. The mean age was 9.3 \u00b1 4.96 years (range 0.4 to 15 years) and the mean duration of symptoms was 16.9 \u00b1 22.15 months. In all, 25 patients had dyspnoea; eight were in New York Heart Association (NYHA) class IV; six had bacterial pericarditis; and 18 were on anti-tuberculosis treatment, although only nine had records suggesting tuberculosis. There were nine patients who underwent pre-operative pigtail catheter drainage of pericardial fluid. Surgical procedures were complete pericardiectomy (n = 20), partial pericardiectomy (n = 6), and pleuropericardial window (n = 1).The mean pre-operative right atrial pressure was 20.4 \u00b1 4.93 mmHg. There were six hospital deaths due to low cardiac output (n = 5) and arrhythmia (n = 1). The mean intensive care unit stay was 2.7 \u00b1 1.2 days and mean post-operative stay was 9.9 days. The mean right atrial pressure dropped to 8.7 \u00b1 1.15 mmHg. Adverse outcomes defined as death\/prolonged intensive care unit stay, prolonged post-operative stay were not associated with sex, diagnosis of tuberculosis or pyopericardium, or the duration of symptoms or pre-operative right atrial pressure. Younger patients had prolonged intensive care unit stay (p = 0.03) but not increased mortality. Advanced NYHA class predicted death (p = 0.02). The mean follow-up was 23.1 \u00b1 23.8 months. All except one survivor are in NYHA class I and off all cardiac medications. Despite adequate surgery, pericardiectomy in children is associated with a high mortality, which is related to delayed surgery and poor pre-operative general condition. No specific pre-operative variable other than worse pre-operative NYHA class is a predictor of survival. Therefore, early pericardiectomy should be undertaken in such patients.<\/jats:p>","DOI":"10.1017\/s1047951113000814","type":"journal-article","created":{"date-parts":[[2013,7,10]],"date-time":"2013-07-10T08:59:43Z","timestamp":1373446783000},"page":"616-622","source":"Crossref","is-referenced-by-count":13,"title":["Pericardiectomy in children &lt;15 years of age"],"prefix":"10.1017","volume":"24","author":[{"given":"Sachin","family":"Talwar","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vinitha Viswambharan","family":"Nair","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shiv Kumar","family":"Choudhary","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vishnubhatla","family":"Sreeniwas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anita","family":"Saxena","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rajnish","family":"Juneja","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shyam Sunder","family":"Kothari","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Balram","family":"Airan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2013,7,10]]},"reference":[{"key":"S1047951113000814_ref5","doi-asserted-by":"crossref","first-page":"587","DOI":"10.1016\/j.ehj.2004.02.002","article-title":"Guidelines on the diagnosis and management of pericardial diseases executive summary; the Task Force on the Diagnosis and Management of Pericardial Diseases of the European Society of Cardiology","volume":"25","author":"Maisch","year":"2004","journal-title":"Eur Heart J"},{"key":"S1047951113000814_ref11","first-page":"27","article-title":"A Recent surgical experience in chronic constrictive pericarditis","volume":"30","author":"Yetkin","year":"2003","journal-title":"Tex Heart Inst J"},{"key":"S1047951113000814_ref3","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.105.543066"},{"key":"S1047951113000814_ref10","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2003.11.048"},{"key":"S1047951113000814_ref6","doi-asserted-by":"publisher","DOI":"10.4329\/wjr.v3.i1.17"},{"key":"S1047951113000814_ref2","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2009.08.003"},{"key":"S1047951113000814_ref8","doi-asserted-by":"publisher","DOI":"10.1016\/S1569-9293(03)00074-4"},{"key":"S1047951113000814_ref9","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2005.08.009"},{"key":"S1047951113000814_ref1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMcp041997"},{"key":"S1047951113000814_ref7","doi-asserted-by":"crossref","first-page":"340","DOI":"10.1016\/S0022-5223(19)38783-5","article-title":"Early and late results of pericardiectomy for constrictive pericarditis","volume":"89","author":"McCaughan","year":"1985","journal-title":"J Thorac Cardiovasc Surg"},{"key":"S1047951113000814_ref4","doi-asserted-by":"publisher","DOI":"10.1016\/j.pcad.2007.03.002"}],"container-title":["Cardiology in the Young"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1047951113000814","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,7,30]],"date-time":"2020-07-30T05:57:05Z","timestamp":1596088625000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1047951113000814\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,7,10]]},"references-count":11,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2014,8]]}},"alternative-id":["S1047951113000814"],"URL":"https:\/\/doi.org\/10.1017\/s1047951113000814","relation":{},"ISSN":["1047-9511","1467-1107"],"issn-type":[{"value":"1047-9511","type":"print"},{"value":"1467-1107","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,7,10]]}}}