Thoracoscopic pericardial fenestration: diagnostic and therapeutic aspects

The cause of cardiac tamponade is only established in 50% of cases. This problem is most commonly treated by pericardiocentesis alone, pericardiotomy being reserved for cases of recurrence and pericardiectomy for those patients presenting with constrictive pericarditis. A series of 16 patients treat...

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Published in:Thorax 1993-11, Vol.48 (11), p.1178-1180
Main Authors: Cantó, A, Guijarro, R, Arnau, A, Fernández-Centeno, A, Císcar, M A, Galbis, J, García-Vilanova, A
Format: Article
Language:English
Subjects:
Adult
Aged
Biological and medical sciences
Diseases of the respiratory system
Female
Humans
Male
Medical sciences
Middle Aged
Pericardial Effusion - diagnosis
Pericardial Effusion - surgery
Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)
Thoracoscopy
Treatment Outcome
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cited_by cdi_FETCH-LOGICAL-b513t-61b3542fef846f846a53d577759c90663c2f346ecbc305b5b38afdbf4f5c9b03
cites cdi_FETCH-LOGICAL-b513t-61b3542fef846f846a53d577759c90663c2f346ecbc305b5b38afdbf4f5c9b03
container_end_page 1180
container_issue 11
container_start_page 1178
container_title Thorax
container_volume 48
creator Cantó, A
Guijarro, R
Arnau, A
Fernández-Centeno, A
Císcar, M A
Galbis, J
García-Vilanova, A
description The cause of cardiac tamponade is only established in 50% of cases. This problem is most commonly treated by pericardiocentesis alone, pericardiotomy being reserved for cases of recurrence and pericardiectomy for those patients presenting with constrictive pericarditis. A series of 16 patients treated with pericardial fenestration via a thoracoscope is presented. Pericardial and pleural biopsies were performed, together with cytological and biochemical analysis of the pericardial and pleural fluid where present. This procedure established the aetiology of effusion in all cases. In malignant pericardial effusion bleomycin was used for pericardial sclerosis. This resulted in fewer recurrences than in those patients where sclerosis was not attempted (12.5% v 60%).
doi_str_mv 10.1136/thx.48.11.1178
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This problem is most commonly treated by pericardiocentesis alone, pericardiotomy being reserved for cases of recurrence and pericardiectomy for those patients presenting with constrictive pericarditis. A series of 16 patients treated with pericardial fenestration via a thoracoscope is presented. Pericardial and pleural biopsies were performed, together with cytological and biochemical analysis of the pericardial and pleural fluid where present. This procedure established the aetiology of effusion in all cases. In malignant pericardial effusion bleomycin was used for pericardial sclerosis. 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recordid cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_464916
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subjects Adult
Aged
Biological and medical sciences
Diseases of the respiratory system
Female
Humans
Male
Medical sciences
Middle Aged
Pericardial Effusion - diagnosis
Pericardial Effusion - surgery
Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)
Thoracoscopy
Treatment Outcome
title Thoracoscopic pericardial fenestration: diagnostic and therapeutic aspects
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