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Ann Thorac Surg 2006;81:529-530
© 2006 The Society of Thoracic Surgeons

Original article: Cardiovascular

Invited commentary

Joseph W. Rubin, MD, CM

22 River Reach Way, Charleston, SC 29407-3372

(Email: jrubin@knology.net).

The first 20% of the full text of this article appears below.

We read in the medical literature that pericardial pathology is now a rare manifestation of tuberculous disease in the industrialized world, and that most often the cause of pericardial constriction is unknown. The uniqueness of this report on pericardiectomy for constrictive pericarditis is the preponderance of tuberculosis as the cause of constriction. The authors emphasize that "tuberculosis continues to be the leading cause of constrictive pericarditis in third world countries." Those of us in the first world should take note. The HIV/AIDS epidemic has already produced a parallel epidemic of tuberculosis often of the chemotherapy-resistant variety. As new treatments for HIV/AIDS come along and those afflicted live longer, practicing . . . [Full Text of this Article]






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