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| __NOTOC__
| | #redirect[[Pericardiectomy]] |
| {{SI}}
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| {{CMG}}; '''Associate Editor-In-Chief:''' {{CZ}}
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| ==Pericardial Stripping for Constrictive Pericarditis==
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| The definitive treatment for constrictive pericarditis is pericardial stripping, which is a surgical procedure where the entire [[pericardium]] is peeled away from the heart. This may be effective in up to 50% of patients. This procedure has significant risk involved, since the thickened [[pericardium]] is often adherent to the [[myocardium]] and coronary arteries.
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| In patients who have undergone [[coronary artery bypass surgery]] with pericardial sparing, there is danger of tearing a bypass graft while removing the pericardium. If any pericardium is not removed, it is possible for bands of pericardium to cause localized constriction which may cause symptoms and signs consistent with constriction.
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| ==Related Chapters==
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| * [[Hemopericardium]]
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| * [[Pneumopericardium]]
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| * [[Chylopericardium]]
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| * [[Pericardial effusion]]
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| * [[Congenital absence of the pericardium]]
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| * [[Pericardial window]]
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| * [[Pericardial sac]]
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| * [[Pericardial friction rub]]
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| * [[Pericardiectomy]]
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| * [[Pericardiocentesis]]
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| * [[Pericardium]]
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| ==Source==
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| * [http://www.ngc.gov/summary/summary.aspx?doc_id=4960&nbr=003524&string=Cardiac+AND+Tamponade National Guideline Clearinghouse]
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| ==References==
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| {{Reflist|2}}
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| ==Acknowledgements==
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| The content on this page was first contributed by [[C. Michael Gibson, M.S., M.D.]]
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| ==Additional Resources==
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| {{refbegin|2}}
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| * Applegate RJ, Johnston WE, Vinten-Johansen J, Klopfenstein HS, Little WC. Restraining effect of intact pericardium during acute volume leading. Am J Physiol. 1992;262:H1725–H1733.
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| * Tsang TS, Barnes ME, Hayes SN, Freeman WK, Dearani JA, Butler SL, Seward JB. Clinical and echocardiographic characteristics of significant pericardial effusions following cardiothoracic surgery and outcomes of echo-guided pericardiocentesis for management: Mayo Clinic experience, 1979–1998. Chest. 1999;116:322–331.
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| * Tsang TS, Oh JK, Seward JB, Tajik AJ. Diagnostic value of echocardiography in cardiac tamponade. Herz. 2000;25:734–740.
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| * Zayas R, Anguita M, Torres F, Gimenez D, Bergillos F, Ruiz M, Ciudad M, Gallardo A, Valles F. Incidence of specific etiology and role of methods for specific etiologic diagnosis of primary acute pericarditis. Am J Cardiol. 1995;75:378 –382.
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| {{refend}}
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| {{Electrocardiography}}
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| {{Circulatory system pathology}}
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| [[Category:Cardiology]]
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| [[Category:Diseases involving the fasciae]]
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| [[pl:Zapalenie osierdzia]]
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