{
    "abstract": "Tuberculosis (TB) is the commonest cause of chronic constrictive pericarditis (CCP) in India, unlike in the western countries. Pericardiectomy is the treatment of choice for CCP. Surgery in TB CCP is considerably more difficult than it is for other etiologies. The role of TB as an independent predictor for adverse surgical outcomes had not been properly evaluated in the Indian scenario. Hence, the aim of this study was to retrospectively analyze our results of surgery for CCP and the pre-operative factors that influenced post-operative outcomes.\nThe data of all adult patients who underwent pericardiectomy for CCP, between the years 2009 and 2020, maintained in a live database in our institute, were retrieved and analyzed.\nThere were 124 patients in the study. The average age was 32\u00a0years. The male to female ratio was 3:1. TB was the commonest cause of CCP, identified in 64 (51.6%) patients. Complete anterior pericardiectomy (CAP) was possible in 122 (98.3%) patients. All the patients had significant drop in their central venous pressure (CVP) (10.25\u2009\u00b1\u20093.47\u00a0mmHg) after surgery. The operative time (\nThe high incidence of TB CCP makes a pericardiectomy in developing countries technically more challenging resulting in increased operative time, more blood loss, and prolonged ICU and hospital stay, but did not affect in-hospital mortality or morbidity.",
    "authors": [
        {
            "affiliation": "The Department of Cardiothoracic Surgery, The Christian Medical College, Tamil Nadu, Vellore, 632004 India.",
            "firstname": "Santhosh Regini",
            "initials": "SR",
            "lastname": "Benjamin"
        },
        {
            "affiliation": "The Department of Cardiothoracic Surgery, The Christian Medical College, Tamil Nadu, Vellore, 632004 India.",
            "firstname": "Aamir",
            "initials": "A",
            "lastname": "Mohammad"
        },
        {
            "affiliation": "The Department of Cardiothoracic Surgery, The Christian Medical College, Tamil Nadu, Vellore, 632004 India.",
            "firstname": "Ravi",
            "initials": "R",
            "lastname": "Shankar"
        },
        {
            "affiliation": "The Department of Cardiothoracic Surgery, The Christian Medical College, Tamil Nadu, Vellore, 632004 India.",
            "firstname": "Korah Thomas",
            "initials": "KT",
            "lastname": "Kuruvilla"
        },
        {
            "affiliation": "The Department of Cardiothoracic Surgery, The Christian Medical College, Tamil Nadu, Vellore, 632004 India.",
            "firstname": "Madhu Andrew",
            "initials": "MA",
            "lastname": "Philip"
        },
        {
            "affiliation": "The Department of Cardiothoracic Surgery, The Christian Medical College, Tamil Nadu, Vellore, 632004 India.",
            "firstname": "Roy",
            "initials": "R",
            "lastname": "Thankachen"
        },
        {
            "affiliation": "The Department of Cardiothoracic Surgery, The Christian Medical College, Tamil Nadu, Vellore, 632004 India.",
            "firstname": "Birla Roy",
            "initials": "BR",
            "lastname": "Gnanamuthu"
        },
        {
            "affiliation": "The Department of Cardiothoracic Surgery, The Christian Medical College, Tamil Nadu, Vellore, 632004 India.",
            "firstname": "Premprasath",
            "initials": "P",
            "lastname": "Kesavan"
        }
    ],
    "conclusions": "The high incidence of TB CCP makes a pericardiectomy in developing countries technically more challenging resulting in increased operative time, more blood loss, and prolonged ICU and hospital stay, but did not affect in-hospital mortality or morbidity.",
    "copyrights": "\u00a9 Indian Association of Cardiovascular-Thoracic Surgeons 2022.",
    "doi": "10.1007/s12055-021-01313-y\n10.1038/nrcardio.2014.100\n10.1016/j.jtcvs.2016.03.098\n10.1016/j.athoracsur.2017.05.063\n10.1016/j.athoracsur.2005.08.009\n10.1016/j.athoracsur.2018.04.048\n10.1016/j.cardfail.2008.01.015\n10.4103/jfmpc.jfmpc_409_19\n10.1007/s00380-019-01464-4\n10.1016/j.ccl.2017.07.007\n10.3390/ijerph17093334\n10.1186/s12879-019-4507-0\n10.1136/heartjnl-2018-314528\n10.1016/S0735-1097(15)60758-6\n10.1055/s-0031-1284434\n10.1016/j.jacc.2003.11.048\n10.4103/0970-2113.45198\n10.1016/j.athoracsur.2012.01.049",
    "journal": "Indian journal of thoracic and cardiovascular surgery",
    "keywords": [
        "Congestive heart failure",
        "Constrictive pericarditis",
        "Pericardiectomy",
        "Tuberculosis"
    ],
    "methods": null,
    "publication_date": "2022-05-10",
    "pubmed_id": "35529004\n25072910\n27210468\n28760468\n16427843\n29777668\n26374871\n22579949\n29382792\n18514930\n31742174\n3175976\n31236676\n29025545\n32403353\n31638903\n30948517\n22942628\n15093882\n20165588\n12959199\n22386088",
    "results": "There were 124 patients in the study. The average age was 32\u00a0years. The male to female ratio was 3:1. TB was the commonest cause of CCP, identified in 64 (51.6%) patients. Complete anterior pericardiectomy (CAP) was possible in 122 (98.3%) patients. All the patients had significant drop in their central venous pressure (CVP) (10.25\u2009\u00b1\u20093.47\u00a0mmHg) after surgery. The operative time (",
    "title": "Does tuberculosis affect surgical outcomes following pericardiectomy for chronic constrictive pericarditis? Twelve years' experience from a tertiary care center in India.",
    "xml": "<Element 'PubmedArticle' at 0x7885035efa10>"
}