• Ann. Thorac. Surg. · Jun 1987

    Management of tuberculous pericarditis.

    • J M Quale, G Y Lipschik, and A E Heurich.
    • Ann. Thorac. Surg. 1987 Jun 1; 43 (6): 653-5.

    AbstractThe cases of 17 patients with tuberculous pericarditis were reviewed. Thirteen patients had effusive pericarditis, and 10 had surgical drainage of the effusion. No deaths were due to pericardial tamponade; this appears to be related to earlier recognition of major pericardial effusions by echocardiography. In 2 patients clinical evidence of pericardial constriction developed while they were on a regimen of therapy, and in another 2 patients, echocardiography revealed pericardial thickening after resolution of the effusion. A pericardial window is recommended for the short-term management of patients suspected of having tuberculous pericarditis with a major pericardial effusion by echocardiography. If a thickened pericardium is found during the window procedure, early pericardiectomy is strongly encouraged.

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