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April 13, 1963


JAMA. 1963;184(2):159-160. doi:10.1001/jama.1963.03700150113025

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Chronic Constrictive Pericarditis.  —Sen-Parulkar and co-workers (J Indian Med Ass39:505 [Nov] 1962) reported on forty patients who had chronic constrictive pericarditis and who underwent pericardiectomy at the K.E.M. Hospital in Bombay during the period from 1951 to 1961. This is one of the largest series reported in the literature from a single clinic for one decade. In that period, there were 284,860 indoor admissions to the hospital, of which 382 patients had primarily some kind of pericardial disease; of these, 40 patients with constrictive pericarditis were operated on. It was found that tuberculous pericarditis is by far the most common underlying disease of the pericardium, which ultimately culminated in constrictive pericarditis. The characteristic histopathological changes showing tubercles and giant cell system were seen in 30 patients. Four cases were suggestive of tuberculous origin, one was from suppurative pericarditis, one was unique—due to guinea-worm infestation of the pericardial cavity—and

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