Pericardial windows have limited diagnostic success

Journal of Cardiothoracic Surgery
Lindsay VolkAnthony Lemaire

Abstract

Pericardial effusion (PE) is a common finding in patients who have chronic cardiac failure, who had undergone cardiac surgery, or who have certain other benign and malignant diseases. Pericardial drainage procedures are often requested for both diagnostic and therapeutic purposes. The perceived benefit is that it allows for diagnosis of malignancy or infection for patients with PEs of unclear etiology. The purpose of the study is to determine the diagnostic yield of surgical drainage procedures. We conducted a retrospective chart review of patients who underwent surgical drainage procedures of PEs from July 1st, 2011 to January 1st, 2017 at a single institution. The variables included data on preoperative, intraoperative, and postoperative findings; morbidity; and survival. A total of 145 patients with an average age of 61 ± 5 and primarily men (53%) were evaluated. All of the surgical drainage procedures were performed through the sub-xiphoid approach. Twenty-five of the 145 patients (17.2%) had diagnostic findings in either the pericardial tissue or fluid. The cytology alone was diagnostic in 4.8% (N = 7) of patients with mixed findings including adenocarcinoma of the lung and breast. The pathology was diagnostic for cancer i...Continue Reading

References

Jul 1, 1982·The Annals of Thoracic Surgery·J I MillerC R Hatcher
Sep 1, 1993·The Annals of Thoracic Surgery·S R HazelriggJ E Auer
Apr 10, 1999·The Annals of Thoracic Surgery·K B AllenC J Shaar
Jul 17, 2001·Heart·J Soler-SolerG Permanyer-Miralda
May 4, 2004·European Heart Journal·Bernhard MaischUNKNOWN Task Force on the Diagnosis and Management of Pricardial Diseases of the European Society of Cardiology
Mar 29, 2006·Circulation·William C Little, Gregory L Freeman
Sep 4, 2010·Journal of Cardiovascular Medicine·Massimo ImazioYehuda Adler
Oct 14, 2017·Cardiology Clinics·Amir Azarbal, Martin M LeWinter

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Citations

Jul 13, 2019·Herz·J ZhangN Zhang
Nov 13, 2019·Journal of Cardiac Surgery·Lindsay VolkAnthony Lemaire

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Methods Mentioned

BETA
dissection
biopsy

Software Mentioned

Pericardial Windows

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