Tuberculous pericarditis surgery

	Tuberculous pericarditis Microchapters
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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. Surgery is usually reserved for patients resistance constrictive pericarditis.

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

Contraindications for pericardiectomy include:^[3]

↑ 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.