Document Detail

Subxiphoid pericardial window for pericardial effusive disease.
MedLine Citation:
PMID:  2681217     Owner:  NLM     Status:  MEDLINE    
A subxiphoid pericardial window made in 123 patients allowed drainage and diagnosis of pericardial effusions. In 40 patients with malignancy and effusions, median drainage was 450 ml; cytology was positive in 17 or 36 (47%), and pericardial biopsy showed cancer in 13 (43%) of 30 patients. In 11 patients with malignancy, both cytology of effusions and biopsy of the pericardium were negative. In 83 patients with benign effusions, median drainage was 400 ml. Effusions recurred in 14 of the 123 patients (11%); nine patients in the benign group and five in the malignant group. Five of these 14 underwent thoracotomy (3 to 542 days postoperatively); two underwent median sternotomy and one underwent pericardiocentesis. Two intraoperative deaths resulted from cardiac arrest. Mortality at 30 days was 25% (10/40 patients) in the malignant group and 11% (9/83 patients) in the benign group. No deaths resulted from recurrent effusions. The establishment of a subxiphoid pericardial window allows rapid and safe drainage of pericardial effusions with sampling for cytology and pericardial biopsy. It has minimal morbidity and few recurrent effusions.
S A Mills; S Julian; R H Holliday; J Vinten-Johansen; L D Case; A S Hudspeth; W Y Tucker; A R Cordell
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of cardiovascular surgery     Volume:  30     ISSN:  0021-9509     ISO Abbreviation:  J Cardiovasc Surg (Torino)     Publication Date:    1989 Sep-Oct
Date Detail:
Created Date:  1989-12-18     Completed Date:  1989-12-18     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0066127     Medline TA:  J Cardiovasc Surg (Torino)     Country:  ITALY    
Other Details:
Languages:  eng     Pagination:  768-73     Citation Subset:  IM    
Department of Surgery, Wake Forest University Medical Center, Winston-Salem, North Carolina.
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MeSH Terms
Drainage / methods
Middle Aged
Pericardial Effusion / etiology,  mortality,  surgery*
Pericardial Window Techniques*
Retrospective Studies
Survival Rate
Xiphoid Bone / surgery

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

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