Tuberculous pericarditis surgery

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Fahimeh Shojaei, M.D.

Overview

The mainstay of treatment for tuberculous pericarditis is medical therapy. Pericardiectomy is usually reserved for patients resistance constrictive pericarditis.

Indications

The mainstay of treatment for tuberculous pericarditis is medical therapy. Surgery is usually reserved for patients resistance constrictive pericarditis.

Surgery

Pericardiectomy
- This procedure is recommended for the patients with persistent hemodynamic instability after 6 weeks of medical therapy.^[1]^[2]

Contraindications

Contraindications for pericardiectomy include:^[3]

References

↑ Long R, Younes M, Patton N, Hershfield E (May 1989). “Tuberculous pericarditis: long-term outcome in patients who received medical therapy alone”. Am. Heart J. 117 (5): 1133–9. doi:10.1016/0002-8703(89)90873-9. PMID 2711975.
↑ Sagristà-Sauleda J, Permanyer-Miralda G, Soler-Soler J (April 1988). “Tuberculous pericarditis: ten year experience with a prospective protocol for diagnosis and treatment”. J. Am. Coll. Cardiol. 11 (4): 724–8. doi:10.1016/0735-1097(88)90203-3. PMID 3351140.
↑ Seferović, Petar M.; Ristić, Arsen D.; Maksimović, Ružica; Simeunović, Dejan S.; Milinković, Ivan; Seferović Mitrović, Jelena P.; Kanjuh, Vladimir; Pankuweit, Sabine; Maisch, Bernhard (2012). “Pericardial syndromes: an update after the ESC guidelines 2004”. Heart Failure Reviews. 18 (3): 255–266. doi:10.1007/s10741-012-9335-x. ISSN 1382-4147.

Overview