Pericardiectomy

Pericardiectomy is the surgical removal of part or most of the pericardium. This operation is most commonly done to relieve constrictive pericarditis or to remove a pericardium that is calcified and fibrous. There are many etiologies for constrictive pericarditis and it is better to know the exact cause as the post operative morbidity, mortality, and life expectancy are strongly influenced by the cause.

It takes place by removing the infected, fibrosed, or otherwise damaged pericardium. The procedure begins when the surgeon makes an incision in the skin over the breastbone and divides it to expose the pericardium. During the surgery, the surgeon will grasp the pericardium, cut the top of this fibrous covering of the heart, drop it into the specimen bag, and re-cover the heart. The breastbone is then wired back together and the incision is closed, completing the procedure. When the portion of pericardium lying between the two phrenic nerves is excised it is called total pericardiectomy. In cases where total pericardiectomy is not possible, subtotal pericardiectomy is performed or, in extreme cases, a cruciate incision on the pericardium is performed.

Healthcare science – Medicine / Surgery / Cardiac procedures (ICD-9-CM V3 35–37+89.4+99.6, ICD-10-PCS 02)
Surgery and IC
Heart valves
and septa
  • Valve repair
  • Valvulotomy
  • Mitral valve repair
  • Valvuloplasty
    • aortic
    • mitral
  • Valve replacement
  • Aortic valve replacement
    • Ross procedure
    • Percutaneous aortic valve replacement
  • Mitral valve replacement
production of septal defect in heart
enlargement of existing septal defect
Atrial septostomy
Balloon septostomy
creation of septal defect in heart
Blalock–Hanlon procedure
shunt from heart chamber to blood vessel
atrium to pulmonary artery
Fontan procedure
left ventricle to aorta
Rastelli procedure
right ventricle to pulmonary artery
Sano shunt
compound procedures
for transposition of great vessels
Jatene procedure
Mustard procedure
for univentricular defect
Norwood procedure
Kawashima procedure
shunt from blood vessel to blood vessel
systemic circulation to pulmonary artery shunt
Blalock–Taussig shunt
SVC to the right PA
Glenn procedure
Cardiac vessels
CHD
Angioplasty
Bypass/Coronary artery bypass
MIDCAB
Off-pump CAB
TECAB
Coronary stent
Bare-metal stent
Drug-eluting stent
  • Bentall procedure
  • Valve-sparing aortic root replacement
Other
Pericardium
Pericardiocentesis
Pericardial window
Pericardiectomy
Myocardium
Cardiomyoplasty
Dor procedure
Septal myectomy
Ventricular reduction
Alcohol septal ablation
Conduction system
Maze procedure
Cox maze and minimaze
Catheter ablation
Cryoablation
Radiofrequency ablation
Pacemaker insertion
  • Left atrial appendage occlusion
  • Cardiotomy
  • Heart transplantation
Diagnostic
tests and
procedures
Electrophysiology
Electrocardiography
Vectorcardiography
Holter monitor
Implantable loop recorder
Cardiac stress test
Bruce protocol
Electrophysiology study
Cardiac imaging
Angiocardiography
Echocardiography
TTE
TEE
Myocardial perfusion imaging
Cardiovascular MRI
Ventriculography
Radionuclide ventriculography
Cardiac catheterization/Coronary catheterization
Cardiac CT
Cardiac PET
sound
Phonocardiogram
Function tests
  • Impedance cardiography
  • Ballistocardiography
  • Cardiotocography
Pacing
  • Cardioversion
  • Transcutaneous pacing

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Surgery: surgical procedures (including Ectomy, stomy, and otomy)
Ectomy
Genital

♀: Cervicectomy · Clitoridectomy · Oophorectomy · Salpingoophorectomy · Salpingectomy · Hysterectomy · Vaginectomy · Vulvectomy

♂: Vasectomy · Penectomy · Orchiectomy · Prostatectomy · Posthectomy · Gonadectomy
Musculoskeletal Bursectomy · amputation (Hemicorporectomy, Hemipelvectomy)
Nervous system cns (Decompressive craniectomy, Hemispherectomy, Anterior temporal lobectomy, Hypophysectomy, Amygdalohippocampectomy, Laminectomy, Corpectomy, Facetectomy) · pns (Ganglionectomy, Sympathectomy/Endoscopic thoracic sympathectomy, Neurectomy) · ear (Stapedectomy, Mastoidectomy) · eye (Photorefractive keratectomy, Trabeculectomy, Iridectomy, Vitrectomy)
Gastrointestinal Gingivectomy · Glossectomy · Esophagectomy · Gastrectomy · Appendectomy · Proctocolectomy · Colectomy · Hepatectomy · Cholecystectomy · Pancreatectomy/Pancreaticoduodenectomy
Respiratory Rhinectomy · Laryngectomy · Pneumonectomy
Endocrine Hypophysectomy · Thyroidectomy · Parathyroidectomy · Adrenalectomy · Pinealectomy
Renal Nephrectomy · Cystectomy
Lymphatic Tonsillectomy · Adenoidectomy · Thymectomy · Splenectomy · Lymphadenectomy
Breast Lumpectomy · Mastectomy
Bone/joint Coccygectomy · Ostectomy (Femoral head ostectomy) · Astragalectomy · Discectomy · Synovectomy
Ungrouped Embolectomy · Endarterectomy · Frenectomy · Ganglionectomy · Lobectomy · Myomectomy · Panniculectomy · Pericardiectomy
Stomy
Gastrointestinal Gastrostomy (Percutaneous endoscopic gastrostomy) · Gastroduodenostomy · Gastroenterostomy · Ileostomy · Jejunostomy · Colostomy · Cholecystostomy · Hepatoportoenterostomy
Urogenital Nephrostomy · Ureterostomy · Cystostomy (Suprapubic cystostomy) · Urostomy
Nervous system Ventriculostomy · eye (Dacryocystorhinostomy)
Otomy
Urogenital Amniotomy · Clitoridotomy · Hysterotomy · Hymenotomy · Episiotomy · Meatotomy · Nephrotomy
Nervous system cns (Craniotomy, Pallidotomy, Thalamotomy, Lobotomy, Bilateral cingulotomy, Cordotomy, Rhizotomy, Laminotomy, Foraminotomy) · pns (Axotomy, Vagotomy) · ear (Myringotomy) · eye (Radial keratotomy, Mini asymmetric radial keratotomy)
Musculoskeletal Myotomy · Tenotomy · Fasciotomy · Escharotomy · Osteotomy · Arthrotomy
Gastrointestinal Myotomy (Heller myotomy, Pyloromyotomy) · Anal sphincterotomy · Lateral internal sphincterotomy
Respiratory Sinusotomy · Cricothyrotomy · Bronchotomy · Thoracotomy · Thyrotomy · Tracheotomy
Cardiovascular Cardiotomy · Phlebotomy
Ungrouped Laparotomy