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Limitations of surgery for constrictive pericarditis

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Book cover Pericardial Disease

Part of the book series: Developments in Cardiovascular Medicine ((DICM,volume 108))

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Abstract

Constrictive pericarditis was one of the first cardiac diseases to be surgically treated. As early as 1649 Riolan (1) predicted that one day the surgeon would be able to free the heart from strangulation. Weill (2), in 1895, and Delorme (3), in 1898, proposed removal of the thickened, fibrous pericardium as the treatment of choice for constrictive pericarditis. The first successful pericardiectomies were carried out simultaneously in Germany by Rehn (4, 5) and by Sauerbruck (6), in 1913. Subsequently, several series of operations were reported, and pericardiectomy was established as the correct treatment for chronic constrictive pericarditis (7–11). In 1941, Blalock and Burwell (12) emphasized the importance of resecting not only the thickened pericardium, but also the residual fibrous epicardium. Likewise, in 1944, Harrington (13) insisted on the need for epicardiolysis in cases of constrictive fibrous epicardium.

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Authors
  1. Marcos Murtra M.D.
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Editors and Affiliations

  1. Service of Cardiology, Hospital General Vall d’Hebron, Barcelona, Spain

    J. Soler-Soler , G. Permanyer-Miralda  & J. Sagristà-Sauleda ,  & 

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© 1990 Kluwer Academic Publishers

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Murtra, M. (1990). Limitations of surgery for constrictive pericarditis. In: Soler-Soler, J., Permanyer-Miralda, G., Sagristà-Sauleda, J. (eds) Pericardial Disease. Developments in Cardiovascular Medicine, vol 108. Springer, Dordrecht. https://doi.org/10.1007/978-94-009-0481-1_12

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  • DOI: https://doi.org/10.1007/978-94-009-0481-1_12

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-010-6702-7

  • Online ISBN: 978-94-009-0481-1

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