What is the role of pericardiectomy in the treatment of acute pericarditis?

Updated: Apr 02, 2019
  • Author: Sean Spangler, MD; Chief Editor: Terrence X O'Brien, MD, MS, FACC  more...
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Answer

Pericardiectomy is the most effective surgical procedure for managing large effusions, because it has the lowest associated risk of recurrent effusions. This procedure is used for constrictive pericarditis, effusive pericarditis, or recurrent pericarditis with multiple attacks, steroid dependence, and/or intolerance to other medical management.

Consider pericardiectomy for radiation-induced constrictive pericarditis, but with a worse outcome than when performed for constrictive pericarditis from other causes, because of coexisting myopathy (class IIa, level B evidence). [3]


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