{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T19:26:25Z","timestamp":1791228385008,"version":"4.1.0"},"reference-count":7,"publisher":"Georg Thieme Verlag KG","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Thorac Cardiovasc Surg"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Constrictive pericarditis represents the end stage of chronic pericardial inflammation and is characterized by impaired diastolic filling due to pericardial fibrosis and\/or calcification, leading to progressive right-sided heart failure. Pericardiectomy remains the definitive treatment, yet perioperative risk remains substantial in patients with advanced disease.<\/jats:p>\n                  <jats:p>We performed a retrospective single-center cohort study of 47 consecutive patients undergoing surgical pericardiectomy for constrictive pericarditis between January 2010 and December 2021. Perioperative characteristics, operative strategy, and early outcomes, including 30-day mortality, postoperative morbidity, and length of stay, were assessed.<\/jats:p>\n                  <jats:p>Mean age was 58\u2009\u00b1\u200914 years, and 64% of patients were male (n\u2009=\u200930). In the study 65% of patients presented with NYHA functional class III to IV, and operative risk was elevated, with a mean EuroSCORE II of 8.5\u2009\u00b1\u20092.3 and a mean STS score of 9.4\u2009\u00b1\u20092.3. Median sternotomy was used in 94% of patients (n\u2009=\u200944), radical pericardiectomy in 64% (n\u2009=\u200930), and a beating-heart strategy without cardiopulmonary bypass in 79% (n\u2009=\u200937), whereas cardiopulmonary bypass was required in 21% (n\u2009=\u200910). We found 30-day all-cause mortality was 6% (n\u2009=\u20093). Major postoperative complications included sepsis in 13% (n\u2009=\u20096) and renal failure requiring dialysis in 8.5% (n\u2009=\u20094). Mean ICU stay was 3.7\u2009\u00b1\u20094.5 days, and mean total hospital stay was 11\u2009\u00b1\u20096.7 days.<\/jats:p>\n                  <jats:p>Pericardiectomy for constrictive pericarditis can be performed with acceptable early mortality and morbidity even in a high-risk population. In experienced centers, an individualized surgical strategy prioritizing extensive pericardial resection with selective use of cardiopulmonary bypass appears feasible for the management of advanced disease.<\/jats:p>","DOI":"10.1055\/a-2864-0224","type":"journal-article","created":{"date-parts":[[2026,5,13]],"date-time":"2026-05-13T22:53:48Z","timestamp":1778712828000},"source":"Crossref","is-referenced-by-count":1,"title":["Eleven-Year Experience and Early Outcomes of Pericardiectomy for Constrictive Pericarditis"],"prefix":"10.1055","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7232-3330","authenticated-orcid":false,"given":"Christopher","family":"Gaisendrees","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, University of Cologne, Cologne, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5810-8626","authenticated-orcid":false,"given":"llija","family":"Djordjevic","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, University Hospital of Cologne, Cologne, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7118-8432","authenticated-orcid":false,"given":"Geor","family":"Schlachtenberger","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, University of Cologne, Cologne, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sebastian","family":"Walter","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, University Hospital of Bonn, Bonn, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6568-6766","authenticated-orcid":false,"given":"Stephen","family":"Gerfer","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, University Hospital of Cologne, Cologne, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,5,13]]},"reference":[{"issue":"42","key":"ref1","doi-asserted-by":"crossref","first-page":"2921","DOI":"10.1093\/eurheartj\/ehv318","article-title":"2015 ESC guidelines for the diagnosis and management of pericardial diseases: The 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 Surgery (EACTS)","volume":"36","author":"Y Adler","year":"2015","journal-title":"Eur Heart J"},{"issue":"01","key":"ref2","doi-asserted-by":"crossref","first-page":"29","DOI":"10.2459\/JCM.0000000000001684","article-title":"Update on the diagnosis and treatment of pericardial diseases: a position paper of the Italian Society of Cardiology in collaboration with the study group on cardiomyopathies and pericardial diseases","volume":"26","author":"M Imazio","year":"2025","journal-title":"J Cardiovasc Med (Hagerstown)"},{"issue":"03","key":"ref3","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":"B C McCaughan","year":"1985","journal-title":"J Thorac Cardiovasc Surg"},{"issue":"06","key":"ref4","doi-asserted-by":"crossref","first-page":"561","DOI":"10.1016\/j.jacc.2024.05.048","article-title":"Pericardial diseases and best practices for pericardiectomy: JACC State-of-the-Art Review","volume":"84","author":"M Al-Kazaz","year":"2024","journal-title":"J Am Coll Cardiol"},{"issue":"03","key":"ref5","doi-asserted-by":"crossref","first-page":"188","DOI":"10.4103\/heartviews.heartviews_52_25","article-title":"Constrictive pericarditis: a comprehensive overview","volume":"26","author":"H Khraishah","year":"2025","journal-title":"Heart Views"},{"issue":"01","key":"ref6","first-page":"24-00036","article-title":"Outcomes and risk factors associated with pericardiectomy in patients with constrictive pericarditis: a retrospective study from China","volume":"30","author":"B Li","year":"2024","journal-title":"Ann Thorac Cardiovasc Surg"},{"issue":"04","key":"ref7","doi-asserted-by":"crossref","first-page":"871","DOI":"10.1016\/j.athoracsur.2025.11.041","article-title":"Radical pericardiectomy and use of cardiopulmonary bypass for constrictive pericarditis","volume":"121","author":"M Koprivanac","year":"2026","journal-title":"Ann Thorac Surg"}],"container-title":["The Thoracic and Cardiovascular Surgeon"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2864-0224.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,13]],"date-time":"2026-05-13T22:53:49Z","timestamp":1778712829000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2864-0224"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,13]]},"references-count":7,"URL":"https:\/\/doi.org\/10.1055\/a-2864-0224","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0171-6425","1439-1902"],"issn-type":[{"value":"0171-6425","type":"print"},{"value":"1439-1902","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,13]]}}}