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Impact of pericardial calcification on early postoperative outcomes after pericardiectomy: a retrospective observational study
Owing to the lack of understanding of the clinical significance of pericardial calcification during pericardiectomy, whether pericardial calcification should be considered when determining the optimal timing for pericardiectomy is debatable. We aimed to investigate the effect of pericardial calcific...
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| Published in: | Journal of cardiothoracic surgery 2024-07, Vol.19 (1), p.449-10, Article 449 |
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| container_title | Journal of cardiothoracic surgery |
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| creator | Lee, Soojin Lee, Juhyun Joo, Seohee Park, You Kyeong Kim, Kang Min Jung, Joon Chul Chang, Hyoung Woo Lee, Jae Hang Kim, Dong Jung Kim, Jun Sung Lim, Cheong |
| description | Owing to the lack of understanding of the clinical significance of pericardial calcification during pericardiectomy, whether pericardial calcification should be considered when determining the optimal timing for pericardiectomy is debatable. We aimed to investigate the effect of pericardial calcification on early postoperative outcomes in patients who underwent pericardiectomy for constrictive pericarditis.
Altogether, 44 patients who underwent pericardiectomy for constrictive pericarditis were enrolled. After excluding three patients who underwent concurrent surgeries, a total of 41 patients were categorized into two groups based on the presence of pericardial calcification as determined by preoperative computed tomography and pathological examination. Preoperative clinical and imaging characteristics, intraoperative data, and early postoperative outcomes were compared between the two groups. A multivariable analysis was performed to identify the factors associated with postoperative complications.
The group with and without PC comprised 21 and 20 patients, respectively. No significant differences were observed in 30-day mortality (n = 1 [5%]) in the group with pericardial calcification and no mortality in the group without pericardial calcification (p > 0.999). Other early postoperative outcome variables did not demonstrate any significant differences between the two groups. However, the use of cardiopulmonary bypass was associated with postoperative complications (p |
| doi_str_mv | 10.1186/s13019-024-02842-4 |
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Altogether, 44 patients who underwent pericardiectomy for constrictive pericarditis were enrolled. After excluding three patients who underwent concurrent surgeries, a total of 41 patients were categorized into two groups based on the presence of pericardial calcification as determined by preoperative computed tomography and pathological examination. Preoperative clinical and imaging characteristics, intraoperative data, and early postoperative outcomes were compared between the two groups. A multivariable analysis was performed to identify the factors associated with postoperative complications.
The group with and without PC comprised 21 and 20 patients, respectively. No significant differences were observed in 30-day mortality (n = 1 [5%]) in the group with pericardial calcification and no mortality in the group without pericardial calcification (p > 0.999). Other early postoperative outcome variables did not demonstrate any significant differences between the two groups. However, the use of cardiopulmonary bypass was associated with postoperative complications (p < 0.009, odds ratio: 63.5, 95% confidence interval: 5.13-3400).
Pericardial calcification did not significantly affect the postoperative outcomes after pericardiectomy. Further comprehensive studies, including those with larger sample sizes and longitudinal designs, are necessary to determine whether pericardial calcification can significantly influence the timing of surgical intervention.</description><identifier>ISSN: 1749-8090</identifier><identifier>EISSN: 1749-8090</identifier><identifier>DOI: 10.1186/s13019-024-02842-4</identifier><identifier>PMID: 39010078</identifier><language>eng</language><publisher>England: BioMed Central Ltd</publisher><subject>Adult ; Aged ; Calcification ; Calcinosis - surgery ; Cardiac arrhythmia ; Cardiovascular disease ; Complications ; Computed tomography ; Constrictive pericarditis ; Coronary artery bypass ; CT imaging ; Etiology ; Female ; Heart ; Hospitals ; Humans ; Male ; Medical records ; Middle Aged ; Mortality ; Patients ; Pericardial calcification ; Pericardiectomy ; Pericardiectomy - adverse effects ; Pericarditis ; Pericarditis, Constrictive - surgery ; Pericardium ; Physiology ; Pleural effusion ; Postoperative ; Postoperative Complications ; Postoperative period ; Regression analysis ; Retrospective Studies ; Tomography, X-Ray Computed ; Treatment Outcome</subject><ispartof>Journal of cardiothoracic surgery, 2024-07, Vol.19 (1), p.449-10, Article 449</ispartof><rights>2024. The Author(s).</rights><rights>COPYRIGHT 2024 BioMed Central Ltd.</rights><rights>2024. This work is licensed under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>The Author(s) 2024</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c445t-6965fe6cef4df06a254db31a28a055bfe705b8225c0553e3feaff661475daa7e3</cites><orcidid>0000-0002-8392-6014 ; 0000-0002-8306-7627 ; 0000-0003-0332-3430 ; 0000-0003-3614-966X ; 0000-0001-5516-0333 ; 0000-0003-4555-5782 ; 0000-0003-4769-5340 ; 0000-0003-0913-7014 ; 0000-0002-1066-2011 ; 0000-0003-4464-1451 ; 0000-0003-4285-8200</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11247834/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/3091294309?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,25753,27924,27925,37012,37013,44590,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39010078$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lee, Soojin</creatorcontrib><creatorcontrib>Lee, Juhyun</creatorcontrib><creatorcontrib>Joo, Seohee</creatorcontrib><creatorcontrib>Park, You Kyeong</creatorcontrib><creatorcontrib>Kim, Kang Min</creatorcontrib><creatorcontrib>Jung, Joon Chul</creatorcontrib><creatorcontrib>Chang, Hyoung Woo</creatorcontrib><creatorcontrib>Lee, Jae Hang</creatorcontrib><creatorcontrib>Kim, Dong Jung</creatorcontrib><creatorcontrib>Kim, Jun Sung</creatorcontrib><creatorcontrib>Lim, Cheong</creatorcontrib><title>Impact of pericardial calcification on early postoperative outcomes after pericardiectomy: a retrospective observational study</title><title>Journal of cardiothoracic surgery</title><addtitle>J Cardiothorac Surg</addtitle><description>Owing to the lack of understanding of the clinical significance of pericardial calcification during pericardiectomy, whether pericardial calcification should be considered when determining the optimal timing for pericardiectomy is debatable. We aimed to investigate the effect of pericardial calcification on early postoperative outcomes in patients who underwent pericardiectomy for constrictive pericarditis.
Altogether, 44 patients who underwent pericardiectomy for constrictive pericarditis were enrolled. After excluding three patients who underwent concurrent surgeries, a total of 41 patients were categorized into two groups based on the presence of pericardial calcification as determined by preoperative computed tomography and pathological examination. Preoperative clinical and imaging characteristics, intraoperative data, and early postoperative outcomes were compared between the two groups. A multivariable analysis was performed to identify the factors associated with postoperative complications.
The group with and without PC comprised 21 and 20 patients, respectively. No significant differences were observed in 30-day mortality (n = 1 [5%]) in the group with pericardial calcification and no mortality in the group without pericardial calcification (p > 0.999). Other early postoperative outcome variables did not demonstrate any significant differences between the two groups. However, the use of cardiopulmonary bypass was associated with postoperative complications (p < 0.009, odds ratio: 63.5, 95% confidence interval: 5.13-3400).
Pericardial calcification did not significantly affect the postoperative outcomes after pericardiectomy. Further comprehensive studies, including those with larger sample sizes and longitudinal designs, are necessary to determine whether pericardial calcification can significantly influence the timing of surgical intervention.</description><subject>Adult</subject><subject>Aged</subject><subject>Calcification</subject><subject>Calcinosis - surgery</subject><subject>Cardiac arrhythmia</subject><subject>Cardiovascular disease</subject><subject>Complications</subject><subject>Computed tomography</subject><subject>Constrictive pericarditis</subject><subject>Coronary artery bypass</subject><subject>CT imaging</subject><subject>Etiology</subject><subject>Female</subject><subject>Heart</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Male</subject><subject>Medical records</subject><subject>Middle Aged</subject><subject>Mortality</subject><subject>Patients</subject><subject>Pericardial calcification</subject><subject>Pericardiectomy</subject><subject>Pericardiectomy - adverse effects</subject><subject>Pericarditis</subject><subject>Pericarditis, Constrictive - surgery</subject><subject>Pericardium</subject><subject>Physiology</subject><subject>Pleural effusion</subject><subject>Postoperative</subject><subject>Postoperative Complications</subject><subject>Postoperative period</subject><subject>Regression analysis</subject><subject>Retrospective Studies</subject><subject>Tomography, X-Ray Computed</subject><subject>Treatment Outcome</subject><issn>1749-8090</issn><issn>1749-8090</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNptkl2P1CAUhhujcT_0D3hhmnjjTVegQKk3ZrNxdZJNvNFrckoPI5O2VKCTzI2_XWZm3d0xBghweM7L11sUbyi5olTJD5HWhLYVYTw3xVnFnxXntOFtpUhLnj8ZnxUXMW4I4aIm4mVxVreEEtKo8-L3apzBpNLbcsbgDITewVAaGIyzeZqcn8pcEcKwK2cfk89cDm-x9EsyfsRYgk0YHvPRJD_uPpZQBkzBxzkHDnwXMWwPknmLmJZ-96p4YWGI-Pq-vyx-3H7-fvO1uvv2ZXVzfVcZzkWqZCuFRWnQ8t4SCUzwvqspMAVEiM5iQ0SnGBMmT2usLYK1UlLeiB6gwfqyWB11ew8bPQc3QthpD04fAj6sNYTkzICaS0DSUkQhCWeMtCCosh23jDdgRJe1Ph215qUbsTc4pQDDiejpyuR-6rXfakqzhKp5Vnh_rxD8rwVj0qOLBocBJvRL1DVRlLVUkD367h9045eQ329PtZniuXuk1pBv4Cbr88ZmL6qvFaFcKdbKTF39h8qlx9EZP6F1OX6SwI4JJv9iDGgfLkmJ3ltQHy2oswX1wYJ6f-K3T5_nIeWv5-o_sPbZHw</recordid><startdate>20240715</startdate><enddate>20240715</enddate><creator>Lee, Soojin</creator><creator>Lee, Juhyun</creator><creator>Joo, Seohee</creator><creator>Park, You Kyeong</creator><creator>Kim, Kang Min</creator><creator>Jung, Joon Chul</creator><creator>Chang, Hyoung Woo</creator><creator>Lee, Jae Hang</creator><creator>Kim, Dong Jung</creator><creator>Kim, Jun Sung</creator><creator>Lim, Cheong</creator><general>BioMed Central Ltd</general><general>BioMed Central</general><general>BMC</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M7Z</scope><scope>P64</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0002-8392-6014</orcidid><orcidid>https://orcid.org/0000-0002-8306-7627</orcidid><orcidid>https://orcid.org/0000-0003-0332-3430</orcidid><orcidid>https://orcid.org/0000-0003-3614-966X</orcidid><orcidid>https://orcid.org/0000-0001-5516-0333</orcidid><orcidid>https://orcid.org/0000-0003-4555-5782</orcidid><orcidid>https://orcid.org/0000-0003-4769-5340</orcidid><orcidid>https://orcid.org/0000-0003-0913-7014</orcidid><orcidid>https://orcid.org/0000-0002-1066-2011</orcidid><orcidid>https://orcid.org/0000-0003-4464-1451</orcidid><orcidid>https://orcid.org/0000-0003-4285-8200</orcidid></search><sort><creationdate>20240715</creationdate><title>Impact of pericardial calcification on early postoperative outcomes after pericardiectomy: a retrospective observational study</title><author>Lee, Soojin ; Lee, Juhyun ; Joo, Seohee ; Park, You Kyeong ; Kim, Kang Min ; Jung, Joon Chul ; Chang, Hyoung Woo ; Lee, Jae Hang ; Kim, Dong Jung ; Kim, Jun Sung ; Lim, Cheong</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c445t-6965fe6cef4df06a254db31a28a055bfe705b8225c0553e3feaff661475daa7e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Calcification</topic><topic>Calcinosis - surgery</topic><topic>Cardiac arrhythmia</topic><topic>Cardiovascular disease</topic><topic>Complications</topic><topic>Computed tomography</topic><topic>Constrictive pericarditis</topic><topic>Coronary artery bypass</topic><topic>CT imaging</topic><topic>Etiology</topic><topic>Female</topic><topic>Heart</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Male</topic><topic>Medical records</topic><topic>Middle Aged</topic><topic>Mortality</topic><topic>Patients</topic><topic>Pericardial calcification</topic><topic>Pericardiectomy</topic><topic>Pericardiectomy - adverse effects</topic><topic>Pericarditis</topic><topic>Pericarditis, Constrictive - surgery</topic><topic>Pericardium</topic><topic>Physiology</topic><topic>Pleural effusion</topic><topic>Postoperative</topic><topic>Postoperative Complications</topic><topic>Postoperative period</topic><topic>Regression analysis</topic><topic>Retrospective Studies</topic><topic>Tomography, X-Ray Computed</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lee, Soojin</creatorcontrib><creatorcontrib>Lee, Juhyun</creatorcontrib><creatorcontrib>Joo, Seohee</creatorcontrib><creatorcontrib>Park, You Kyeong</creatorcontrib><creatorcontrib>Kim, Kang Min</creatorcontrib><creatorcontrib>Jung, Joon Chul</creatorcontrib><creatorcontrib>Chang, Hyoung Woo</creatorcontrib><creatorcontrib>Lee, Jae Hang</creatorcontrib><creatorcontrib>Kim, Dong Jung</creatorcontrib><creatorcontrib>Kim, Jun Sung</creatorcontrib><creatorcontrib>Lim, Cheong</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Biochemistry Abstracts 1</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>Journal of cardiothoracic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lee, Soojin</au><au>Lee, Juhyun</au><au>Joo, Seohee</au><au>Park, You Kyeong</au><au>Kim, Kang Min</au><au>Jung, Joon Chul</au><au>Chang, Hyoung Woo</au><au>Lee, Jae Hang</au><au>Kim, Dong Jung</au><au>Kim, Jun Sung</au><au>Lim, Cheong</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Impact of pericardial calcification on early postoperative outcomes after pericardiectomy: a retrospective observational study</atitle><jtitle>Journal of cardiothoracic surgery</jtitle><addtitle>J Cardiothorac Surg</addtitle><date>2024-07-15</date><risdate>2024</risdate><volume>19</volume><issue>1</issue><spage>449</spage><epage>10</epage><pages>449-10</pages><artnum>449</artnum><issn>1749-8090</issn><eissn>1749-8090</eissn><abstract>Owing to the lack of understanding of the clinical significance of pericardial calcification during pericardiectomy, whether pericardial calcification should be considered when determining the optimal timing for pericardiectomy is debatable. We aimed to investigate the effect of pericardial calcification on early postoperative outcomes in patients who underwent pericardiectomy for constrictive pericarditis.
Altogether, 44 patients who underwent pericardiectomy for constrictive pericarditis were enrolled. After excluding three patients who underwent concurrent surgeries, a total of 41 patients were categorized into two groups based on the presence of pericardial calcification as determined by preoperative computed tomography and pathological examination. Preoperative clinical and imaging characteristics, intraoperative data, and early postoperative outcomes were compared between the two groups. A multivariable analysis was performed to identify the factors associated with postoperative complications.
The group with and without PC comprised 21 and 20 patients, respectively. No significant differences were observed in 30-day mortality (n = 1 [5%]) in the group with pericardial calcification and no mortality in the group without pericardial calcification (p > 0.999). Other early postoperative outcome variables did not demonstrate any significant differences between the two groups. However, the use of cardiopulmonary bypass was associated with postoperative complications (p < 0.009, odds ratio: 63.5, 95% confidence interval: 5.13-3400).
Pericardial calcification did not significantly affect the postoperative outcomes after pericardiectomy. Further comprehensive studies, including those with larger sample sizes and longitudinal designs, are necessary to determine whether pericardial calcification can significantly influence the timing of surgical intervention.</abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>39010078</pmid><doi>10.1186/s13019-024-02842-4</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0002-8392-6014</orcidid><orcidid>https://orcid.org/0000-0002-8306-7627</orcidid><orcidid>https://orcid.org/0000-0003-0332-3430</orcidid><orcidid>https://orcid.org/0000-0003-3614-966X</orcidid><orcidid>https://orcid.org/0000-0001-5516-0333</orcidid><orcidid>https://orcid.org/0000-0003-4555-5782</orcidid><orcidid>https://orcid.org/0000-0003-4769-5340</orcidid><orcidid>https://orcid.org/0000-0003-0913-7014</orcidid><orcidid>https://orcid.org/0000-0002-1066-2011</orcidid><orcidid>https://orcid.org/0000-0003-4464-1451</orcidid><orcidid>https://orcid.org/0000-0003-4285-8200</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | Journal of cardiothoracic surgery, 2024-07, Vol.19 (1), p.449-10, Article 449 |
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| source | Publicly Available Content Database; PubMed Central |
| subjects | Adult Aged Calcification Calcinosis - surgery Cardiac arrhythmia Cardiovascular disease Complications Computed tomography Constrictive pericarditis Coronary artery bypass CT imaging Etiology Female Heart Hospitals Humans Male Medical records Middle Aged Mortality Patients Pericardial calcification Pericardiectomy Pericardiectomy - adverse effects Pericarditis Pericarditis, Constrictive - surgery Pericardium Physiology Pleural effusion Postoperative Postoperative Complications Postoperative period Regression analysis Retrospective Studies Tomography, X-Ray Computed Treatment Outcome |
| title | Impact of pericardial calcification on early postoperative outcomes after pericardiectomy: a retrospective observational study |
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