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RESULTS OF RADICAL PERICARDIECTOMY FOR CONSTRICTIVE PERICARDITIS

RESULTS OF RADICAL PERICARDIECTOMY FOR CONSTRICTIVE PERICARDITIS The use of pericardiectomy for constrictive pericarditis, first proposed by Delorme in 18951 and first successfully applied by Rehn in 1913,2 has evolved through the usual stages of (1) slow acceptance, (2) timid application and disappointing failures, and (3) gradually increasing boldness in advising and performing the operation, culminating in the application of improved techniques that now yield increasingly satisfactory results. Evidence of a greater willingness to advise the operation is shown in the acceptance of the principle that, whenever symptoms of compression of the heart appear in the presence of presumed active tuberculous pericarditis, decompressive procedures such as aspiration of fluid and decortication are indicated. Evidence of a more aggressive approach to the surgical problem involved is the recognition of the need of performing a more extensive and radical pericardiectomy if the desired results are to be attained. In the past, certain authors have accepted a long delay http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

RESULTS OF RADICAL PERICARDIECTOMY FOR CONSTRICTIVE PERICARDITIS

JAMA , Volume 157 (10) – Mar 5, 1955

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References (2)

Publisher
American Medical Association
Copyright
Copyright © 1955 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.1955.02950270007003
Publisher site
See Article on Publisher Site

Abstract

The use of pericardiectomy for constrictive pericarditis, first proposed by Delorme in 18951 and first successfully applied by Rehn in 1913,2 has evolved through the usual stages of (1) slow acceptance, (2) timid application and disappointing failures, and (3) gradually increasing boldness in advising and performing the operation, culminating in the application of improved techniques that now yield increasingly satisfactory results. Evidence of a greater willingness to advise the operation is shown in the acceptance of the principle that, whenever symptoms of compression of the heart appear in the presence of presumed active tuberculous pericarditis, decompressive procedures such as aspiration of fluid and decortication are indicated. Evidence of a more aggressive approach to the surgical problem involved is the recognition of the need of performing a more extensive and radical pericardiectomy if the desired results are to be attained. In the past, certain authors have accepted a long delay

Journal

JAMAAmerican Medical Association

Published: Mar 5, 1955

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