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Excess of fluid in the pericardium can be because of various causes. One is pericarditis. Once you treat the pericarditis, the fluid will disappear. Treating by antibiotics, anti-inflammatory drugs and mild diuretics, you can treat it. Some conditions like tuberculosis pericarditis where you have to put in anti tuberculous drugs. Surgeries are also done where you remove the pericardium. The thick surrounding he heart is removed. Then the pressure effect on the heart is also relived and excess fluid is relieved. If excess fluid is around, it can produce a condition called cardiac tamponede, that is it is compressing the heart. Once it starts coming out, the patient will have an arrest or he will gave decreased output. This is an emergency condition where you have to immediately relieve by putting a catheter and a needle into the pericardial space and aspirate it , what you call as pericardiocentesis or we have to make an open window and drain those fluids by putting an intercostal drainage tube there. Basically the fluid has to be removed and the pericardium has to be removed. That is the surgery for pericarditis.