Document Detail

Management of uremic pericarditis: a report of 11 patients with cardiac tamponade and a review of the literature.
MedLine Citation:
PMID:  999385     Owner:  NLM     Status:  MEDLINE    
Uremic pericarditis remains a significant cause of morbidity and mortality in most hemodialysis programs. A review of the literature and out own experience show that uremic pericarditis should be vigorously treated when detected. Usually an increase in the dialysis program with regional heparinization is sufficient to control the pericarditis. When signs of pericardial effusion are manifested, patients often progress rapidly to cardiac tamponade. A surgical anterolateral pericardiectomy is the most satisfactory measure in controlling pericardial effusion and preventing fatal cardiac tamponade. Although these patients have severely impaired renal function, the operation can be performed safely with a low morbidity and mortality.
J E Morin; D Hollomby; A Gonda; R Long; A R Dobell
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  22     ISSN:  0003-4975     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  1976 Dec 
Date Detail:
Created Date:  1977-01-28     Completed Date:  1977-01-28     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  588-92     Citation Subset:  AIM; IM    
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MeSH Terms
Cardiac Tamponade / etiology,  surgery,  therapy*
Middle Aged
Pericarditis / etiology,  surgery,  therapy*
Renal Dialysis
Uremia / complications*,  surgery,  therapy

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