Learn about Pericardiectomy Treatment in India — how it works, who it is for, recovery timelines, and what to expect before and after surgery. Compare hospitals and doctors experienced in Pericardiectomy and request assistance for cost estimates or appointments.

About Pericardiectomy

A pericardiectomy is a major cardiac surgery performed to remove part or all of the pericardium, the tough, double-layered sac that surrounds the heart. This procedure is primarily indicated for constrictive pericarditis, a condition where the pericardium becomes scarred, thickened, and rigid, severely restricting the heart's ability to fill and pump blood effectively. It is also used for recurrent pericardial effusions (fluid buildup) that do not respond to other treatments. The surgery, performed under general anesthesia, involves accessing the heart through a sternotomy (breastbone incision) and carefully excising the diseased pericardial tissue to relieve compression on the heart. This allows for improved cardiac filling and function, alleviating debilitating symptoms like severe shortness of breath, fatigue, and fluid retention.

Key Highlights

    Definitive treatment for constrictive pericarditis, relieving pressure on the heart.Can significantly improve heart function, exercise capacity, and quality of life.Addresses recurrent pericardial effusions that are unresponsive to less invasive procedures.Performed by specialized cardiac surgeons with extensive experience in heart surgery.Utilizes advanced surgical techniques and monitoring for patient safety.

Who is this surgery for?

  • Constrictive Pericarditis: Thickening and scarring of the pericardium, often from prior infection (e.g., tuberculosis), radiation therapy, or cardiac surgery.
  • Recurrent Pericardial Effusion: Repeated fluid accumulation around the heart causing tamponade or symptoms, not controlled by pericardiocentesis.
  • Effusive-Constrictive Pericarditis: A combination of fluid buildup and constriction.
  • Purulent Pericarditis: A severe bacterial infection of the pericardial sac.
  • Pericardial Disease causing significant, refractory symptoms like dyspnea, fatigue, and edema.

How to prepare

  • Comprehensive cardiac evaluation including echocardiogram, CT scan, and sometimes cardiac catheterization to confirm diagnosis and assess heart function.
  • Pre-operative blood tests, chest X-ray, and ECG.
  • Management of any active infections or other medical conditions (e.g., optimizing kidney function).
  • Discussion of medications; patients may need to stop blood thinners (anticoagulants) several days before surgery.
  • Fasting for 8-12 hours prior to the procedure as per anesthesia guidelines.
  • Informed consent process detailing the risks, benefits, and alternatives to the surgery.

Risks & possible complications

  • General Surgical Risks: Bleeding, infection, blood clots, and adverse reactions to anesthesia.
  • Cardiac-Specific Risks: Injury to the heart muscle or coronary arteries during dissection, which may require additional repair.
  • Arrhythmias: Irregular heart rhythms, which are common after heart surgery.
  • Low Cardiac Output: The heart may struggle to pump effectively immediately after the constriction is relieved.
  • Recurrence: Incomplete removal of pericardial tissue can lead to symptom recurrence.
  • Pulmonary Complications: Fluid in the lungs (pleural effusion) or pneumonia.
  • Phrenic Nerve Injury: Potential damage to the nerve controlling the diaphragm, affecting breathing.

Recovery & hospital stay

  • Hospital Stay: Initial recovery in the Cardiac ICU for close monitoring, followed by transfer to a step-down unit. Total hospital stay typically lasts several days to over a week.
  • Pain Management: Medications are provided to manage post-operative pain from the sternotomy incision.
  • Activity: Gradual mobilization is encouraged. Patients will receive guidance on sternal precautions (e.g., no heavy lifting, pushing, or pulling) for 6-8 weeks to allow the breastbone to heal.
  • Medications: May include pain relievers, medications to manage heart rhythm or fluid balance, and sometimes temporary blood thinners.
  • Follow-up: Regular follow-up appointments with the cardiac surgeon and cardiologist are essential to monitor heart function and recovery progress.
  • Cardiac Rehabilitation: A supervised exercise and education program is often recommended to regain strength and endurance safely.
  • checked Typical hospital stay: 7-14 days
  • checked Expected recovery time: 6-12 weeks for initial recovery; 3-6 months for full recovery

Frequently Asked Questions

If you are considering pericardiectomy in India, these questions and answers can help you make a confident, informed decision.

Procedure cost in other countries

Here is an overview of how the estimated cost, hospital stay, and recovery time for pericardiectomy compare across other countries where we have data.

Country Estimated cost range Typical stay Recovery time View details
India INR 350 Thousand – 800 Thousand 7-14 days ~ 6-12 weeks for initial recovery; 3-6 months for full recovery Know More
Turkey TRY 1.23 Million – 2.8 Million 7-14 days ~ 6-12 weeks for initial recovery; 3-6 months for full recovery Know More

Top hospitals for Pericardiectomy in India

These partner hospitals in India have dedicated cardiac surgery teams and experience managing patients undergoing pericardiectomy.

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Kamineni Hospital, King Koti

  • IconHyderabad, India
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89+ Rating

Kamineni Hospital, Tadigadapa

  • Iconvijayawada, India
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15+ Rating

Manipal Hospital Mukundapur

  • IconKolkata, India
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91+ Rating

Manipal Hospital Malleshwaram

  • IconBangalore, India
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534+ Rating

Manipal Hospital Yeshwanthpur

  • IconBangalore, India
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10171+ Rating

Miot Hospital Chennai

  • IconChennai, India
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5734+ Rating

Manipal Hospital Siliguri

  • IconSiliguri, India
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15+ Rating

SIMS Hospital Vadapalani

  • IconChennai, India
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20+ Rating

Manipal Hospital Bhubaneswar

  • IconBhubaneshwar, India
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5740+ Rating

Manipal Hospital Old Airport Road

  • IconBangalore, India
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PATIENT REVIEW

Myra Iyer, a 58-year-old retired school...

Myra Iyer, a 58-year-old retired school principal from Chennai, had always been active and health-conscious. For over a year, she battled a relentless, crushing fatigue and shortness of breath that made climbing her apartment stairs feel like a marathon. Her ankles swelled, and she developed a persistent, dry cough. Initially dismissed as stress or aging, her symptoms worsened until a routine echocardiogram revealed a severely thickened and calcified pericardium, constrictive pericarditis, likely a late consequence of a childhood bout of tuberculosis. Her cardiologist, Dr. Rao, explained that her heart was trapped in a rigid, unyielding sac, preventing it from filling properly. Medication could only manage symptoms; a pericardiectomy to surgically strip away the diseased pericardium was the only definitive cure. Terrified but out of options, Myra agreed. The surgery was long and complex, but successful. In the Cardiac ICU, the immediate relief in her breathing was profound. Recovery in the hospital was painful and slow, requiring careful management of her heart rhythms and fluid balance. Back home, guided by cardiac rehab, she regained strength week by week. The emotional journey was a rollercoaster: from the fear of a heart operation and grief for her lost vitality, to a cautious hope post-surgery, and finally, to profound gratitude. Six months later, gardening again without gasping for air, she feels she has been given her life back.

Cardiac surgeons for Pericardiectomy

Explore experienced cardiac surgeons who regularly perform pericardiectomy and provide pre- and post-operative care in India.

Dr. Robert Coelho
  • 31 Years Experience
  • Pediatric Cardiac surgeon
Speaks: English, Tamil, Hindi
Consult Charge ₹ 900
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Miot Hospital Chennai, Chennai

OPD-desk synced • Updated
Dr. Richard Saldanha
  • 37 Years Experience
  • Cardiac surgeon
Speaks: English, Tamil, Hindi
Consult Charge ₹ 900
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Miot Hospital Chennai, Chennai

OPD-desk synced • Updated
Dr. Joseph Xavier
  • 30 Years Experience
  • Cardiac surgeon
Speaks: English, Hindi
Consult Charge ₹ 450
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Sarjapur Road, Bangalore

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Dr. Rohit Ravindra Tanga
  • 21 Years Experience
  • Cardiac surgeon
Speaks: English, Hindi
Consult Charge ₹ 500
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Sarjapur Road, Bangalore

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Dr. Arun V
  • 11 Years Experience
  • Cardiac surgeon
Speaks: English, Hindi
Consult Charge ₹ 500
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Sarjapur Road, Bangalore

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Dr. Vinod Subramanian
  • 13 Years Experience
  • Cardiac surgeon
Speaks: English, Hindi
Consult Charge ₹ 450
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Salem, Salem

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Dr. Mukundan Seshadri
  • 31 Years Experience
  • Cardiac surgeon
Speaks: English, Hindi
Consult Charge ₹ 800
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Whitefield, Bangalore

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Dr. Arun Veeram Reddy
  • 13 Years Experience
  • Cardiac surgeon
Speaks: English, Hindi
Consult Charge ₹ 450
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Whitefield, Bangalore

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Dr. Murali Krishna
  • 15 Years Experience
  • Cardiac surgeon
Speaks: English, Hindi
Consult Charge ₹ 1000
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Old Airport Road, Bangalore

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Dr. NS Devananda
  • 30 Years Experience
  • Cardiac surgeon
Speaks: English, Hindi
Consult Charge ₹ 1000
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Old Airport Road, Bangalore

OPD-desk synced • Updated
Dr. Bhaskar B V
  • 16 Years Experience
  • Cardiac surgeon
Speaks: English, Hindi
Consult Charge ₹ 1000
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Old Airport Road, Bangalore

OPD-desk synced • Updated
Dr. Upendra Shenoy
  • 23 Years Experience
  • Cardiac surgeon
Speaks: English, Hindi
Consult Charge ₹ 800
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Mysore, Mysore

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Dr. Srinivas Babu
  • 13 Years Experience
  • Cardiac surgeon
Speaks: English, Hindi
Consult Charge ₹ 800
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Vijayawada, vijayawada

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Dr. Umesh Nareppa
  • 23 Years Experience
  • Cardiac surgeon
Speaks: English, Hindi
Consult Charge ₹ 650
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Malleshwaram, Bangalore

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Dr. Bashi V Velayudhan
  • 37 Years Experience
  • Cardiac surgeon
Speaks: English, Hindi, Tamil
Consult Charge ₹ 500

MediFyr Plus SIMS Hospital Vadapalani, Chennai

OPD-desk synced • Updated
Dr. Rajkamal Vishnu
  • 8 Years Experience
  • Cardiac surgeon
Speaks: English, Hindi, Tamil
Consult Charge ₹ 500

MediFyr Plus SIMS Hospital Vadapalani, Chennai

OPD-desk synced • Updated
Dr. A Mohammed Ibrahim
  • 11 Years Experience
  • Cardiac surgeon
Speaks: English, Hindi, Tamil
Consult Charge ₹ 500

MediFyr Plus SIMS Hospital Vadapalani, Chennai

OPD-desk synced • Updated
Dr. Mohammed Idhrees
  • 17 Years Experience
  • Cardiac surgeon
Speaks: English, Hindi, Tamil
Consult Charge ₹ 500

MediFyr Plus SIMS Hospital Vadapalani, Chennai

OPD-desk synced • Updated
Dr. Ashwin Kumar H
  • 11 Years Experience
  • Cardiac surgeon
Speaks: English, Hindi
Consult Charge ₹ 1090
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Hebbal, Bangalore

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Dr. Murali Krishna
  • 15 Years Experience
  • Cardiac surgeon
Speaks: English, Hindi
Consult Charge ₹ 1500
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Hebbal, Bangalore

OPD-desk synced • Updated