pericardiectomie

Pericardiectomie is a surgical procedure aimed at removing the pericardium, the sac that encloses the heart. The pericardium is a double-walled serous membrane that protects the heart and facilitates its movement. Pericardiectomie is typically performed to treat conditions such as pericardial effusion, pericarditis, or constrictive pericarditis, where the pericardium becomes thickened, inflamed, or filled with fluid, leading to heart compression and reduced function.

The procedure can be performed through various approaches, including open thoracotomy, minimally invasive techniques such as video-assisted thoracoscopic surgery (VATS), or even percutaneous methods. In open thoracotomy, a large incision is made in the chest to access the pericardium, which is then removed. VATS involves smaller incisions and the use of a camera and surgical instruments inserted through these incisions to remove the pericardium. Percutaneous pericardiectomie uses needles or catheters to access the pericardium and remove it.

Post-operative care is crucial to ensure a smooth recovery. Patients may require monitoring for complications such as infection, bleeding, or heart failure. Medications may be prescribed to manage pain, reduce inflammation, and prevent blood clots. Physical therapy and rehabilitation are often necessary to restore heart function and overall health.

Pericardiectomie is a complex surgical procedure that requires skilled surgical expertise and careful post-operative management. It is typically reserved for cases where medical treatments have failed or are not suitable. The success of the procedure depends on various factors, including the underlying cause of the pericardial condition, the extent of the disease, and the patient's overall health.