Abstract
Chronic effusive-constrictive pericarditis was successfully treated by removal of the visceral pericardium in a 15-year-old Thai female. The constrictive visceral pericardium was barely detected by noninvasive studies. This case highlights the importance of removal of the visceral pericardium in this condition. If only the parietal pericardium is removed, the patient will not improve clinically.
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