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Ann Thorac Surg 1980;29:464-468
© 1980 The Society of Thoracic Surgeons
Division of Cardiovascular and Thoracic Surgery, Department of Surgery, the University of Texas Medical Branch, Galveston, TX
Accepted for publication November 28, 1979.
* Address reprint requests to Dr. Larrieu, Division of Cardiovascular and Thoracic Surgery, The University of British Columbia, Vancouver General Hospital, Vancouver, British Columbia, Canada V5Z 1M9
Twelve patients with tuberculous pericarditis were found among 1,194 patients with tuberculosis treated at the University of Texas Medical Branch over a 10-year period, an incidence of 1%. Surgical treatment was undertaken in 4 patients, and the rest were treated medically. The surgically treated patients had no major complications, and none of them died. In the medically treated group, however, 1 patient died, 1 had an anaerobic empyema, and 1 experienced respiratory arrest. In addition, the average hospital stay was 33 days less in the surgically treated group. Early surgical intervention should be carried out in patients with tuberculous pericarditis who do not respond promptly to adequate antituberculosis chemotherapy.
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