Document Detail


AIDS-related cardiac tamponade: is surgical drainage justified?
MedLine Citation:
PMID:  15337059     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In order to evaluate the usefulness of surgical drainage in the treatment of patients with acquired immunodeficiency syndrome (AIDS)-related cardiac tamponade, we reviewed our experience with subxiphoid pericardiostomy on 5 consequent such patients. One patient died in the immediate postoperative period and the remaining 4 died within 21 weeks after the operation. Similar results have been reported by other authors who found that surgical drainage has no diagnostic or therapeutic benefit over pericardiocentesis in this particular group of patients. Based on our limited experience and the data of the literature, we feel that surgical drainage cannot be justified as the primary method of treatment of AIDS-related cardiac tamponade.
Authors:
Theodosios J Dosios; Nikolaos P Theakos; Dimitrios C Angouras; Olga I Katsarou; Panayiotis J Asimacopoulos
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  78     ISSN:  1552-6259     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  2004 Sep 
Date Detail:
Created Date:  2004-08-31     Completed Date:  2005-07-11     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  1084-5     Citation Subset:  AIM; IM    
Affiliation:
Athens University Medical School, Athens, Greece.
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MeSH Terms
Descriptor/Qualifier:
Acquired Immunodeficiency Syndrome / complications*
Adolescent
Adult
Cardiac Tamponade / etiology,  therapy*
Drainage
Fatal Outcome
Humans
Middle Aged
Myocardium / pathology
Pericardiectomy
Prognosis
Retrospective Studies

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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