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Ann Thorac Surg 2006;82:1519-1521
© 2006 The Society of Thoracic Surgeons

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Case Reports

Tuberculous Pericardial Effusion After Coronary Artery Bypass Graft

^a Department of Cardiac Surgery, Hammersmith Hospital, London, United Kingdtom
^b Department of Infectious Disease, Hammersmith Hospital, London, United Kingdom
^c Department of Histopathology, Hammersmith Hospital, London, United Kingdom
^d Department of Immunology & Molecular Pathology, University College London, Windeyer Building, London, United Kingdom

Accepted for publication February 7, 2006.

^_* Address correspondence to Dr Hornick, Department of Cardiac Surgery, National Heart and Lung Institute, Imperial College, 2nd Floor, B Block, Hammersmith Campus, Du Cane Rd, London, W12 0NN, UK (Email: p.hornick{at}imperial.ac.uk).

We describe a case of a recurrent pericardial effusion after coronary artery bypass grafting. This was initially considered to be due to post-pericardiotomy syndrome, but was later treated empirically as tuberculosis. After definitive surgery for this condition, pericardial histology and immunohistochemistry confirmed the diagnosis of tubercular pericarditis. At 4-months follow-up, while continuing anti-tuberculous therapy and corticosteroids, the patient showed consistent improvement without further recurrence of his pericardial effusion. Local reactivation of tuberculosis after pericardiotomy has not been previously reported and merits careful consideration in population groups in which tuberculosis is highly endemic.

This article has been cited by other articles:

				M. W. Khalil and P. K. Sarkar Tuberculous Pericarditis After Coronary Artery Bypass Graft Ann. Thorac. Surg., September 1, 2007; 84(3): 1074 - 1074. [Full Text] [PDF]