Tuberculous pericarditis surgery: Difference between revisions
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==Overview== | ==Overview== | ||
The mainstay of treatment for tuberculous pericarditis is medical therapy. [[Pericardiectomy]] is usually reserved for [[patients]] resistance [[constrictive pericarditis]]. | |||
==Indications== | ==Indications== | ||
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*Pericardiectomy | *Pericardiectomy | ||
**This procedure is recommended for the patients with hemodynamic instability. | **This procedure is recommended for the patients with persistent hemodynamic instability after 6 weeks of medical therapy.<ref name="pmid2711975">{{cite journal |vauthors=Long R, Younes M, Patton N, Hershfield E |title=Tuberculous pericarditis: long-term outcome in patients who received medical therapy alone |journal=Am. Heart J. |volume=117 |issue=5 |pages=1133–9 |date=May 1989 |pmid=2711975 |doi=10.1016/0002-8703(89)90873-9 |url=}}</ref><ref name="pmid3351140">{{cite journal |vauthors=Sagristà-Sauleda J, Permanyer-Miralda G, Soler-Soler J |title=Tuberculous pericarditis: ten year experience with a prospective protocol for diagnosis and treatment |journal=J. Am. Coll. Cardiol. |volume=11 |issue=4 |pages=724–8 |date=April 1988 |pmid=3351140 |doi=10.1016/0735-1097(88)90203-3 |url=}}</ref> | ||
==Contraindications== | ==Contraindications== | ||
Contraindications for pericardiectomy include:<ref name="SeferovićRistić2012">{{cite journal|last1=Seferović|first1=Petar M.|last2=Ristić|first2=Arsen D.|last3=Maksimović|first3=Ružica|last4=Simeunović|first4=Dejan S.|last5=Milinković|first5=Ivan|last6=Seferović Mitrović|first6=Jelena P.|last7=Kanjuh|first7=Vladimir|last8=Pankuweit|first8=Sabine|last9=Maisch|first9=Bernhard|title=Pericardial syndromes: an update after the ESC guidelines 2004|journal=Heart Failure Reviews|volume=18|issue=3|year=2012|pages=255–266|issn=1382-4147|doi=10.1007/s10741-012-9335-x}}</ref> | |||
* Extensive myocardial fibrosis | |||
* Advanced disease | |||
* Mild constrictive pericarditis with no hemodynamic change | |||
==References== | ==References== | ||
Latest revision as of 16:16, 19 December 2019
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Tuberculous pericarditis Microchapters |
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Differentiating Tuberculous pericarditis from other Diseases |
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Diagnosis |
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Treatment |
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Case Studies |
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Tuberculous pericarditis surgery On the Web |
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American Roentgen Ray Society Images of Tuberculous pericarditis surgery |
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Risk calculators and risk factors for 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
Contraindications
Contraindications for pericardiectomy include:[3]
- Extensive myocardial fibrosis
- Advanced disease
- Mild constrictive pericarditis with no hemodynamic change
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.