A Simple Modified Technique of Pleuropericardial Window: Towards 0% Recurrence

Recurrent pericardial effusion is commonly encountered in neoplastic and infective disorders. Intervention is compulsory in patients with unstable hemodynamics and tamponading effusion. Surgical options include: pericardiocentesis, subxiphoid pericardiostomy, and pericardial window. The latter has p...

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Bibliographic Details
Published in:Revista brasileira de cirurgia cardiovascular 2023-01, Vol.38 (3), p.405-406
Main Authors: Hemead, Hanan M, Saleh, Amr, Hassanein, Wael
Format: Article
Language:English
Subjects:
CARDIAC & CARDIOVASCULAR SYSTEMS
Chronic illnesses
Heart Atria - surgery
Heart surgery
Hemodynamics
How I Do It
Humans
Pericardial Effusion
Pericardial Effusion - etiology
Pericardial Effusion - surgery
Pericardial Window Techniques
Pericardiocentesis
Pericardium
Superior
SURGERY
Surgical outcomes
Surgical techniques
Thoracic surgery
Vena Cava
Vena Cava, Superior - surgery
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Summary:Recurrent pericardial effusion is commonly encountered in neoplastic and infective disorders. Intervention is compulsory in patients with unstable hemodynamics and tamponading effusion. Surgical options include: pericardiocentesis, subxiphoid pericardiostomy, and pericardial window. The latter has proved to have lower incidence of recurrence; however, the technique has been continuously refined to improve the recurrence-free survival and decrease postoperative morbidity. We herein present a novel simple modification to minimize recurrence by anchoring the free edges of pericardial fenestration overlying the superior vena cava and right atrium to the chest wall. Follow-up showed no recurrence compared to 3.5% in the conventional procedure.
ISSN:1678-9741
0102-7638
1678-9741
DOI:10.21470/1678-9741-2022-0017