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Constrictive pericarditis, still a diagnostic challenge: comprehensive review of clinical management
European Journal of Cardio-Thoracic Surgery, 09/09/09
Schwefer M et al. – Pericardiectomy in experienced centers with complete decortication is the treatment of choice for CP and it results in symptomatic relief in most patients. However, some patients may not benefit from pericardiectomy and this may be due to myocardial compliance abnormalities, myocardial atrophy after prolonged constriction, residual constriction or other myocardial processes. An important predictor of long–term outcome after pericardiectomy is the etiology of the pericardial disease.
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