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

Autor:	Hemead, Hanan M., Saleh, Amr, Hassanein, Wael
Jazyk:	angličtina
Rok vydání:	2022
Předmět:	Vena Cava Medicine (miscellaneous) Surgery Pericardiocentesis General Medicine Cardiology and Cardiovascular Medicine Pericardial Window Techniques Superior Pericardial Effusion
Zdroj:	Brazilian Journal of Cardiovascular Surgery n.ahead 2022 Brazilian Journal of Cardiovascular Surgery Sociedade Brasileira de Cirurgia Cardiovascular (SBCCV) instacron:SBCCV Brazilian Journal of Cardiovascular Surgery, Issue: ahead, Published: 05 DEC 2022
Popis:	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.
Databáze:	OpenAIRE
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