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(Chest. 1973;63:732-735.)
© 1973 American College of Chest Physicians

Surgical Management of Acute Septic Pericarditis

Gulshan K. Sethi M.D.1; Russell M. Nelson M.D., F.C.C.P.2; and Conrad B. Jenson M.D.2

1 Division of Thoracic and Cardiovascular Surgery, Veterans Administration Hospital, Oteen, North Carolina
2 Surgical Research Laboratory, Department of Surgery, Latter-day Saints Hospital, and the Department of Surgery, University of Utah College of Medicine, Salt Lake City

Four patients with acute septic pericarditis were treated by emergency pericardiectomy through a bilateral anterior thoracotomy. The findings of exudative loculated fluid, extensive granulation tissue and septate adhesions, not only indicated the limitations of antibiotic therapy, but portended the development of subsequent chronic constrictive pericarditis. There was immediate relief of cardiac tamponade and dramatic interruption of the septic course. All have been longterm survivors who have exhibited no postoperative complications.






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Copyright © 1973 by the American College of Chest Physicians.