8th March 2024

A 43 year old accountant is admitted to the ED with worsening shortness of breath and pedal oedema.

A 43 year old accountant is admitted to the ED with worsening shortness of breath and pedal oedema. His JVP is elevated on examination. Bloods have been requested including NT-Pro BNP. His past medical history is significant for hypertension, diabetes, and tuberculosis. CXR shows pericardial calcification which is further confirmed on CT. Which of the following is the definitive treatment modality for this patient?

Select the SINGLE most appropriate option from the list below. Select ONE option only.