This condition occurs following an attack of fibrinous pericarditis leading to adhesion between the two layers of pericardium and to the surrounding structures of the mediastinum. There is usually no symptom during life.
helpful for the diagnosis. Chest X-ray, CT scan, MRI are
TREATMENT OF PERICARDITIS
Acute Dry Pericarditis
Pericardial Effusion
The above treatment is to be continued along with pericardial paracentesis.
Pericardial paracentesis is done to diagnose the condition or when the character of the fluid is to be studied for determining the aetiology and as an emergency for decompression of heart in cardiac tamponade.
CHRONIC ADHESIVE PERICARDITIS
Site of puncture
In Pyogenic pericarditis apart from appropriate antibiotics surgical drainage should be considered early. Whenever necessary, surgical treatment should be undertaken. This is particularly indicated when there is oedema and exercise intolerance. Sometimes the operation is very difficult and cardiopulmonary by-pass is of value.
Chronic Constrictive and Adhesive Pericarditis
After preoperative treatment with proper antibiotics surgical Areatment (Pericardiactomy) should be undertaken.
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