Pediatricsadvanced
Which treatment does the material identify as the only effective treatment for constrictive pericarditis?
Answer
Radical pericardiectomy with wide decortication
Explanation
The lecture identifies **radical pericardiectomy with decortication** of the visceral and parietal pericardium over a wide area of the heart as the only effective treatment for constrictive pericarditis. Pericardiocentesis drains fluid and is discussed for effusion and tamponade; it does not remove the constricting scarred pericardium. The other options are not presented as definitive treatment for constriction. **Key takeaway:** Definitive treatment of constrictive pericarditis is surgical removal of the constricting pericardium. **Glossary:** **Pericardiectomy**: surgical removal of pericardial tissue. **Decortication**: removal of a constricting outer layer from an organ or structure.
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