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Health Dictionary

Reliable, easy-to-read patient information on common medical conditions — written in plain language, free of jargon, and grounded in current evidence. Browse the most frequent diagnoses, understand what they mean for everyday life, and learn which steps and questions help you have a focused conversation with your doctor.

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Tuberculous pericarditis surgery

Introduction

Overview

Overview

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

Indications

Indications

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

Surgery

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

Contraindications

Contraindications for pericardiectomy include:[3]

  • Extensive myocardial fibrosis
  • Advanced disease
  • Mild constrictive pericarditis with no hemodynamic change
References

References

  1. ↑ 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.
  2. ↑ 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.
  3. ↑ 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.

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