For the surgical treatment of chronic constrictive pericarditis, the main choice is open-heart pericardiectomy as soon as possible after the acute symptoms subside.
Most cases of constrictive pericarditis will develop into chronic ones, and the related symptoms and signs will gradually worsen, seriously affecting the survival and quality of life. Although there are a few cases that can be relieved after being controlled by medication, the mainstream treatment at present is still direct open-heart pericardiectomy, and minimally invasive pericardiectomy is less clinically applicable.
Chronic constrictive pericarditis in China is mainly caused by tuberculosis, non-specific pericarditis and traumatic pericarditis, etc. The heart is surrounded by dense fibrosis or calcification of the pericardium, which results in symptoms and signs related to cardiac activity and decreased cardiac function, and should be treated by surgical removal of the pericardium after a clear diagnosis.
It is recommended that for abnormal cardiovascular function, we should consult a doctor in time, improve the cardiac ultrasound and other auxiliary examinations, and then choose the treatment according to the specific circumstances under the guidance of the doctor’s professional advice.