{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,3,4]],"date-time":"2025-03-04T05:38:49Z","timestamp":1741066729520,"version":"3.38.0"},"reference-count":31,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[1994,12,1]],"date-time":"1994-12-01T00:00:00Z","timestamp":786240000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cardiovascular Surgery"],"published-print":{"date-parts":[[1994,12]]},"abstract":"<jats:p> A study of pericarditis treated surgically over a period of 14.5 years was conducted to evaluate the current pattern and management of this disease in a tropical environment. The series comprised 86 patients (58 males and 28 females) aged from 5 months to 60 years (mean 21.1 years). Pericarditis was effusive in 41 patients, calcific in 33 and fibrous in 12. Aetlological or associated factors were non-specific, pyogenic infection, rheumatic heart disease, endomyocardial fibrosis, tuberculosis and amoebiasis in 36, 21, eight, eight, six and four patients, respectively. All the patients were in New York Heart Association (NYHA) functional class III or IV. Operative treatment involved pericardiotomy with tube drainage in 32 patients, pericardiectomy in 49, and pericardiotomy with subsequent pericardiectomy in five. The total hospital mortality rate was 8.0%, and was largely a result of severe pre-operative cardiac decompensation and multiple organ failure. Of the 79 early survivors, 91% reverted to NYHA functional class I or II. Surgical treatment remains the most effective management of chronic pericarditis which still constitutes a major clinical problem in some countries. <\/jats:p>","DOI":"10.1177\/096721099400200607","type":"journal-article","created":{"date-parts":[[2024,9,23]],"date-time":"2024-09-23T19:20:58Z","timestamp":1727119258000},"page":"711-715","source":"Crossref","is-referenced-by-count":0,"title":["Pericarditis: A Persisting Surgical Problem"],"prefix":"10.1177","volume":"2","author":[{"given":"C. H.","family":"Anyanwu","sequence":"first","affiliation":[{"name":"Cardiothoracic Surgical Unit University of Nigeria Teaching Hospital and Medical College. Enugu, Nigeria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B. U. O.","family":"Umeh","sequence":"additional","affiliation":[{"name":"Cardiothoracic Surgical Unit University of Nigeria Teaching Hospital and Medical College. Enugu, Nigeria"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[1994,12,1]]},"reference":[{"key":"bibr1-096721099400200607","first-page":"40","volume":"34","author":"Miller JI","year":"1982","journal-title":"Pericardiectomy: Current indication, concepts and results in a university center"},{"key":"bibr2-096721099400200607","first-page":"86","volume":"148","author":"Robertson JM","year":"1984","journal-title":"Pericardiectomy: A changing scene"},{"key":"bibr3-096721099400200607","unstructured":"Logue RB. Etiology, recognition and management of pericardial disease. In: Hurst JW, ed. The Heart. New York: McGraw-Hill Book Company, 1982: 1371\u201395."},{"key":"bibr4-096721099400200607","first-page":"146","volume":"29","author":"Culliford AT","year":"1980","journal-title":"Operation for chronic constrictive pericarditis. Do the surgical approach and degree of pericardial resection influence the outcome significantly?"},{"key":"bibr5-096721099400200607","first-page":"450","volume":"31","author":"Rice PL","year":"1981","journal-title":"Constrictive pericarditis following cardiac surgery"},{"key":"bibr6-096721099400200607","first-page":"163","volume":"24","author":"Rocke DA","year":"1986","journal-title":"Peri-operative management of constrictive pericarditis"},{"key":"bibr7-096721099400200607","first-page":"637","volume":"43","author":"Bashi VV","year":"1988","journal-title":"Early and late results of pericardiectomy in 118 cases of constrictive pericarditis"},{"key":"bibr8-096721099400200607","unstructured":"Anyanwu CH, Umeh BUO, Okereke OUJ. Cardiac surgery in Nigeria: Present status, problems and future prospects. Proc East Afr Med Ass J (in press)."},{"key":"bibr9-096721099400200607","first-page":"126","volume":"83","author":"Walsh TJ","year":"1982","journal-title":"Constrictive epicarditis as a cause of delayed or absent response to pericardiectomy: A clinico-pathological study"},{"key":"bibr10-096721099400200607","first-page":"273","volume":"50","author":"Blake S","year":"1983","journal-title":"Aetiology of chronic constrictive pericarditis"},{"key":"bibr11-096721099400200607","first-page":"1331","volume":"47","author":"Mizuno A","year":"1983","journal-title":"Surgery for chronic pericarditis - thirty years' experience"},{"journal-title":"Constrictive pericarditis","first-page":"1313","year":"1983","key":"bibr12-096721099400200607"},{"key":"bibr13-096721099400200607","first-page":"590","volume":"36","author":"Mabogunje OA","year":"1981","journal-title":"Surgical management of pericarditis in Zaria, Nigeria"},{"key":"bibr14-096721099400200607","first-page":"340","volume":"89","author":"McCaughan BC","year":"1985","journal-title":"Early and late results of pericardiectomy for constrictive pericarditis"},{"key":"bibr15-096721099400200607","first-page":"30","volume":"88","author":"Palatianos GM","year":"1985","journal-title":"Comparison of effectiveness and safety of operation on the pericardium"},{"key":"bibr16-096721099400200607","first-page":"171","volume":"2","author":"Copeland JG","year":"1986","journal-title":"Pericardiectomy for effusive constrictive pericarditis after heart transplantation"},{"key":"bibr17-096721099400200607","first-page":"696","volume":"308","author":"Weiss JM","year":"1903","journal-title":"Association of left pleural effusion with pericardial disease"},{"key":"bibr18-096721099400200607","first-page":"11264","volume":"72","author":"Siefert FC","year":"1985","journal-title":"Surgical treatment of constrictive pericarditis: Analysis of outcome and diagnostic error"},{"key":"bibr19-096721099400200607","first-page":"1038","volume":"48","author":"Viola AR","year":"1973","journal-title":"The influence of pericardiectomy on the haemodynamics of chronic constrictive pericarditis"},{"key":"bibr20-096721099400200607","first-page":"39","volume":"69","author":"Pugliese P","year":"1984","journal-title":"Total pericardiectomy for chornic constrictive pericarditis using femoro-femoral by pass"},{"key":"bibr21-096721099400200607","first-page":"236","volume":"69","author":"Copeland JG","year":"1975","journal-title":"Surgical treatment of chronic constrictive pericarditis using cardiopulmonary bypass"},{"key":"bibr22-096721099400200607","first-page":"476","volume":"55","author":"Callahan JA","year":"1985","journal-title":"Two dimensional echocardiography guided pericardiocentesis: Experience in 117 consecutive patients"},{"key":"bibr23-096721099400200607","first-page":"5","volume":"70","author":"Ghosh SC","year":"1985","journal-title":"Clinical experience with subxiphoid pericardial decompression"},{"key":"bibr24-096721099400200607","unstructured":"Lorrel BH Braundwald E. Pericardial disease. In: Braundwald E ed. Heart Disease. Philadephia: WB Saunders, 1988: 1485\u2013134"},{"key":"bibr25-096721099400200607","first-page":"709","volume":"90","author":"Okoroma EO","year":"1975","journal-title":"Acute bacterial pericarditis in children. Report of 25 cases"},{"key":"bibr26-096721099400200607","first-page":"641","volume":"133","author":"Feldman WE","year":"1979","journal-title":"Bacterial etiology and mortality of purulent pericarditis in pediatric patients. Review of 162 cases"},{"key":"bibr27-096721099400200607","first-page":"695","volume":"8","author":"Harvey RM","year":"1953","journal-title":"Mechanical and myocardial factors in chronic constrictive pericarditis"},{"key":"bibr28-096721099400200607","first-page":"921","volume":"89","author":"Collins HA","year":"1964","journal-title":"Late results of pericardiectomy. Chronic constrictive pericarditis"},{"key":"bibr29-096721099400200607","first-page":"102","volume":"38","author":"Sommerville W","year":"1968","journal-title":"Constrictive pericarditis with special reference to the change in natural history brought about by surgical intervention"},{"key":"bibr30-096721099400200607","first-page":"93","volume":"33","author":"Dines DE","year":"1958","journal-title":"Myocardial atrophy in constrictive pericarditis"},{"key":"bibr31-096721099400200607","first-page":"2061","volume":"144","author":"Pick RA","year":"1984","journal-title":"Recurrent cardiac constriction after pericardiectomy"}],"container-title":["Cardiovascular Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/096721099400200607","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/096721099400200607","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,3]],"date-time":"2025-03-03T12:42:00Z","timestamp":1741005720000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/096721099400200607"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1994,12]]},"references-count":31,"journal-issue":{"issue":"6","published-print":{"date-parts":[[1994,12]]}},"alternative-id":["10.1177\/096721099400200607"],"URL":"https:\/\/doi.org\/10.1177\/096721099400200607","relation":{},"ISSN":["0967-2109"],"issn-type":[{"type":"print","value":"0967-2109"}],"subject":[],"published":{"date-parts":[[1994,12]]}}}