A patient with progressive fatigue, dyspnea, abdominal diste…
A patient with progressive fatigue, dyspnea, abdominal distention, and ascites is scheduled for cardiothoracic surgery. JVP is elevated with a paradoxical rise on inspiration. Chest CT shows pericardial thickening of 8 mm with calcification, no pericardial effusion. Echo demonstrates preserved LV systolic function. Which intraoperative goals are most appropriate?
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