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Pericardiectomy is a surgical procedure that involves the removal of part or all of the pericardium, the protective sac surrounding the heart. There are different types of pericardiectomy, including: 1. Total pericardiectomy: Removal of the entire pericardium. 2. Partial pericardiectomy: Removal of a portion of the pericardium. 3. Pericardial resection: Removal of a segment of the pericardium. Indications for pericardiectomy include: 1. Constrictive pericarditis 2. Recurrent pericardial effusion 3. Cardiac tamponade 4. Pericardial tumors or cysts 5. Trauma or injury to the heart or pericardium The procedure is typically performed under general anesthesia and may involve: 1. Median sternotomy (incision through the breastbone) 2. Thoracotomy (incision through the chest wall) 3. Cardiopulmonary bypass (heart-lung machine) Risks and complications of pericardiectomy include: 1. Bleeding or hemorrhage 2. Infection 3. Heart injury 4. Respiratory or cardiac complications 5. Adhesions or scarring Benefits of pericardiectomy include: 1. Relief from constrictive pericarditis symptoms 2. Improved cardiac function 3. Reduced risk of cardiac tamponade 4. Enhanced patient outcomes 5. Potential cure for pericardial tumors or cysts Post-operative care typically involves: 1. Monitoring for complications 2. Pain management 3. Fluid management 4. Follow-up imaging studies (e.g., echocardiogram) 5. Wound care and dressing changes #Pericardiectomy