[Hepatic function after surgical repair of constrictive pericarditis].
We report the results of long-term follow up in 9 patients who underwent pericardiectomy for constrictive pericarditis. In order to test whether if congestive liver dysfunction due to the disease could be reversible or not after the surgical repair, the patients were evaluated by indocyanine green (ICG) clearance test. All the patients improved in NYHA classification after long-term periods following surgical repairs. The percentage of ICG retention at 15 minutes (ICG-R15) improved in most of the patients. However, two patients who had a long history from the onset before surgery became worse in ICG-R15. From the above reports, reversibility of hepatic function might be dependent on the duration of liver congestion before surgical repairs.
Tagami
H
H
First Department of Surgery, Kumamoto University School of Medicine, Japan.
Utoh
J
J
Kunitomo
R
R
Hagiwara
S
S
Uemura
S
S
Muranaka
T
T
Moriyama
S
S
Okamoto
K
K
Nishimura
K
K
Kitamura
N
N
D000328:Adult; D000368:Aged; D004396:Coloring Agents; D005500:Follow-Up Studies; D006801:Humans; D007208:Indocyanine Green; D008099:Liver / Q000503:physiopathology*; D008297:Male; D008657:Metabolic Clearance Rate; D008875:Middle Aged; D010492:Pericardiectomy; D010494:Pericarditis, Constrictive / Q000503:physiopathology* / Q000601:surgery; D013997:Time Factors
D004396:Coloring Agents; D007208:Indocyanine Green