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A late complication of tuberculous pericarditis after partial pericardial resection

A K Gregory1, C P Connery, C E Anagnostopoulos

  • 1Department of Surgery, St. Luke's-Roosevelt Hospital Center, Columbia University College of Physicians and Surgeons, New York, New York 10025, USA.

The Annals of Thoracic Surgery
|March 4, 1998
PubMed

Insights

Tuberculous pericarditis can lead to needing surgery, but incomplete procedures risk late issues. This case shows a rare complication 11 years after partial pericardial resection, highlighting the need for complete removal.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Thoracic Surgery

Background:

  • Tuberculous pericarditis affects 1-2% of pulmonary tuberculosis cases.
  • Pericardiectomy may be required despite adequate tuberculosis therapy.
  • Incomplete pericardial resection is linked to higher rates of late complications.

Observation:

  • A patient developed a cutaneous sinus tract.
  • The sinus tract communicated with residual pericardium.
  • A retrosternal abscess cavity was present.

Findings:

  • The patient presented with a sinus tract and abscess 11 years post-partial pericardial resection.
  • This indicates a long-term complication of incomplete pericardiectomy.
  • Residual pericardium likely contributed to the abscess formation.

Implications:

  • Complete pericardial resection is crucial for preventing late complications.
  • Long-term monitoring may be necessary for patients with partial pericardiectomy.
  • This case underscores the importance of surgical technique in managing tuberculous pericarditis.

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