What's New in Constrictive Pericarditis? A European Perspective Novedades en pericarditis constrictiva. Una perspectiva europea

摘要: Constrictive pericarditis (CP) is probably one of the major concerns clinicians dealing with pericardial diseases in longterm, as well our patients. final result different types acute pericarditis. Recent data have clearly shown that etiology initial risk factor for evolution to a constrictive phase, since bacterial etiologies (purulent and tuberculous pericarditis) higher this outcome (20% 30%) compared neoplastic or immune-mediated forms, viral idiopathic etiologies. Moreover, not related number recurrences, but essentially both recurrent Previous studies from United States suggested possible increase specific CP, especially postcardiac surgery post-radiation cases. However, developing countries high prevalence tuberculosis, such sub-Saharan Africa, suggest may be predominant cause thus, etiological spectrum CP mainly affected by presence tuberculosis (Table) geographical area. On basis, become an emerging issue associated new immigration streams toward European countries. In retrospective study published Porta-Sanchez et al Revista Espanola de Cardiologia, Spanish investigators review their experience 140 consecutive cases who underwent pericardiectomy between 1978 2012 tertiary referral center (Hospital Universitari Vall d’Hebron, Barcelona, Spain). These authors should congratulated continuous efforts improve knowledge last 30 years more. study, most patients had (54%). All included perioperative mortality 11%, which consistent previous surgical series. Different similar mortality, although