Abstract
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. 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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