Why the study?
Does MRI provide better surgical guidance than 2-D echocardiography in a patient with tuberculous pericardial abscess?
Does MRI provide better surgical guidance than 2-D echocardiography in a patient with tuberculous pericardial abscess?
MRI can provide critical anatomical details for guiding the surgical approach in complex cases of tuberculous pericardial abscess.
MRI may aid localization in complex tuberculous pericardial abscess; leaves open superiority over echocardiography for surgical guidance.
In a 30-year-old man with tuberculous pericardial effusion and symptoms of constrictive pericarditis, 2-D echocardiography indicated localized effusion. Subsequent magnetic resonance imaging showed the effusion to be posterior and compressing the left ventricle. Guided by this information, pericardial resection with drainage of tuberculous abscess was performed via left anterior thoracotomy.
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D'Silva et al. (1992) studied this question.
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