Video-Assisted Thoracoscopic Pericardial Window in the Treatment of Pericardial Effusion: Report of Two Cases

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A 54-year-old man had a history of subxiphoid pericardial window due to suspected tuberculous effusions. Seventeen yearslater, following chronic heart failure and implantation of a pacemaker, he again developed pericardial and pleural effusion, requiringrepeated percutaneous pericardiocentesis, pleurocentesis and chest tube drainage. A 5×5-cm section of pericardiumwas successfully resected with video-assisted thoracic pericardial window. No recurrence of pericardial effusion has sincebeen encountered during 36 months follow-up. An 85-year-old woman had a history of percutaneous pericardiocentesis andpleurocentesis due to chronic pericarditis. The effusion of unknown origin was refractory to medication and additionalpericardiocentesis and percutaneous pericardial and chest tube drainage. A 4×4-cm section of pericardium was also successfullyresected. No recurrence of pericardial effusion has been seen during 8 months follow-up. Video-assisted thoracoscopicpericardial window is an effective procedure for treating intractable pericardial effusion.
長崎大学医学部の論文