Early pericardiectomy can be diagnostically and therapeutically important in subacute pericarditis with hemodynamic deterioration before end-stage fibrosis occurs.
Answers are grounded in this paper and cite their sources.
May support early pericardiectomy for diagnosis in deteriorating subacute pericarditis; hypothesis-generating before end-stage fibrosis.
A patient with subacute pericarditis showed no evidence suggesting tuberculosis until pericardiectomy was performed because of hemodynamic deterioration. The excised pericardium had a rubbery fibroelastic consistency; histologically, there were granulomatous changes characteristic of tuberculosis. Although tuberculous pericarditis is a difficult diagnosis, this case illustrates the diagnostic and therapeutic importance of early pericardiectomy before myocardial inflammatory infiltration occurs together with end-stage pericardial fibrosis and calcification.
No takes yet. Share an insight, caveat, or question.
Ryoke et al. (2000) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: