Pericardial Diseases and Best Practices for Pericardiectomy: JACC State-of-the-Art Review (JACC August 2024-1)-Article: Pericardial Diseases and Best Practices for Pericardiectomy: JACC State-of-the-Art Review

Article: Pericardial Diseases and Best Practices for Pericardiectomy: JACC State-of-the-Art Review

Pdf Summary

The document covers pericardial diseases, particularly chronic constrictive pericarditis (CP) and recurrent pericarditis (RP), emphasizing the role of pericardiectomy in cases with severe symptoms or complications. It discusses advancements in imaging, medical therapy, and surgical techniques that have improved patient outcomes. The importance of multidisciplinary evaluation before pericardiectomy is highlighted for optimal results. Various factors influencing patient selection for surgery, such as disease etiology, hemodynamics, and comorbidities, are discussed. The document also mentions the use of imaging modalities and anti-inflammatory therapies in disease management. The significance of individualized care for complex conditions like mixed CP and restrictive cardiomyopathy is stressed. Moreover, it addresses the importance of specialized surgical expertise, risk assessment, and long-term survival considerations in patients undergoing pericardiectomy. Future directions for research in prevention, early detection, and risk stratification for improved outcomes are outlined. Overall, the document underscores the need for specialized care, comprehensive evaluation, and continual advancements in the field to enhance the management of pericardial diseases and pericardiectomy procedures.

Keywords

Pericardial diseases

Chronic constrictive pericarditis

Recurrent pericarditis

Pericardiectomy

Imaging advancements

Medical therapy

Surgical techniques

Multidisciplinary evaluation

Patient selection factors

Anti-inflammatory therapies