Clinical Manifestation 
Occurs over an extended time period and mimic those of CHF and corpulmonale. Dyspnea on exertion, dependent odema, ascitis, fatigue, anorexia and weight loss, increased  jugular venous pressure, pulsus paradoxus  is uncommon.
Diagnosis 
History, X-ray  chest, Echocardiography, CT scan, MRI, ECG
Therapeutic Management 
Treat the cause.
Surgical  intervention-Pericardectomy
- Resection of  the affected pericardium. 
- Nursing management  is the same as for cardiac surgical patient.