Abu Yamin Khamis

Ahmadi Salleh

Basheer Ahamed Abdul Kareem

Mohd Hamzah Kamrulzaman

Sivasangari Subramaniam

Sotheenathan Krishinan

Journal of Cardiothoracic Surgery

Springer - Publisher Connector

MEETING ABSTRACT Open Access
Surgical Management of Tuberculous Constrictive
Pericarditis in a Developing Country: Case Report
Sotheenathan Krishinan1*, Basheer Ahamed Abdul Kareem1, Abu Yamin Khamis1, Ahmadi Salleh1,
Sivasangari Subramaniam2, Mohd Hamzah Kamrulzaman1
From World Society of Cardiothoracic Surgeons 25th Anniversary Congress, Edinburgh
Edinburgh, UK. 19-22 September 2015
Background/Introduction
Tuberculosis has been increasing in incidence in recent
years especially in developing countries. Tuberculous
pericarditis is a form of extra pulmonary tuberculosis
that is considered unusual.
Aims/Objectives
We report a case of tuberculosis of pericardium compli-
cated with constrictive pericarditis and the surgical chal-
lenges encountered.
Method
Diagnosis is often challenging. High indexes of suspicion
combined with the use of all available diagnostic techni-
ques are important to increase diagnostic yield. A definite
or proven diagnosis is based on demonstration of tubercle
bacilli in pericardial fluid or on histologic section of
the pericardium. Constrictive pericarditis is a complication
of tuberculous pericarditis that necessitates surgical
intervention.
Results
The timing of surgical intervention is controversial, but
many experts recommend a trial of medical therapy for
non-calcific pericardial constriction, and pericardiectomy
in non-responders after 4 to 8 weeks of anti-tuberculosis
chemotherapy.
Discussion/Conclusion
Pericardiectomy is a surgical option which carries high
mortality and morbidity. We report a case of tuberculosis
of pericardium complicated with constrictive pericarditis
and the surgical challenges both intraoperative and post
operatively.
Authors’ details
1Department of Cardiothoracic, Penang General Hospital, Georgetown,
Penang, 10990, Malaysia. 2Clinical Research Center, Penang General Hospital,
Georgetown, Penang, 10990, Malaysia.
Published: 16 December 2015
doi:10.1186/1749-8090-10-S1-A186
Cite this article as: Krishinan et al.: Surgical Management of Tuberculous
Constrictive Pericarditis in a Developing Country: Case Report. Journal of
Cardiothoracic Surgery 2015 10(Suppl 1):A186.
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1Department of Cardiothoracic, Penang General Hospital, Georgetown,
Penang, 10990, Malaysia
Full list of author information is available at the end of the article
Krishinan et al. Journal of Cardiothoracic Surgery 2015, 10(Suppl 1):A186
http://www.cardiothoracicsurgery.org/content/10/S1/A186
© 2015 Krishinan et al. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://
creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the
original work is properly cited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/
zero/1.0/) applies to the data made available in this article, unless otherwise stated.


Surgical management of tuberculous constrictive pericarditis in a developing country: case report

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Surgical management of tuberculous constrictive pericarditis in a developing country: case report

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