QS7. Using Apache® III-J to Predict Outcome in Patients Undergoing Pericardial Window for Malignant Pericardial Effusion

2008 ◽  
Vol 144 (2) ◽  
pp. 273
Author(s):  
Faiz Y. Bhora ◽  
Daniel Sagalovich ◽  
M. Jawad Latif ◽  
John Afthinos ◽  
Cliff P. Connery
Keyword(s):  
Pericardial Effusion ◽  
Pericardial Window ◽  
Malignant Pericardial Effusion

Malignant pericardial effusion with cardiac tamponade in a patient with metastatic vaginal adenocarcinoma

2006 ◽  
Vol 16 (3) ◽  
pp. 1458-1461 ◽  
Author(s):  
N. P. Nagarsheth ◽  
M. Harrison ◽  
T. Kalir ◽  
J. Rahaman
Keyword(s):  
Pericardial Effusion ◽  
Cardiac Tamponade ◽  
Lung Metastases ◽  
Gynecological Cancer ◽  
Disease Process ◽  
Surgical Excision ◽  
Clear Cell Adenocarcinoma ◽  
Pericardial Window ◽  
Malignant Pericardial Effusion ◽  
Platinum Based Chemotherapy

Malignant pericardial effusion with cardiac tamponade is a rare manifestation of metastatic gynecological cancer. A 35-year-old female was diagnosed with clear cell adenocarcinoma of the vagina. Four years after partial vaginectomy, she developed regional recurrence and was treated with surgical excision followed by platinum-based chemotherapy and radiation therapy. Six years later, the patient was diagnosed with lung metastases and received a combination adriamycin and platinum-based chemotherapy. Shortly after completing treatment, she presented with weakness and was found to be hypotensive on physical exam. Computed tomography scan confirmed a pericardial effusion with evidence of bilateral heart failure. She underwent an emergent pericardiocentesis and eventual pericardial window procedure. Metastatic adenocarcinoma of the vagina can present with malignant pericardial effusion with cardiac tamponade. Therefore, gynecologists and gynecological oncologists need to be familiar with the diagnosis and management of this disease process.

scholarly journals Subxiphoid window drainage of pericardial effusion - study of 35 cases

1970 ◽  
Vol 5 (2) ◽  
pp. 71-74 ◽  
Author(s):  
Rezwanul Hoque ◽  
Mostafa Nuruzzaman ◽  
Sabrina Sharmin Husain ◽  
Zerzina Rahman
Keyword(s):  
Pericardial Effusion ◽  
Thoracoscopic Surgery ◽  
Exclusion Criteria ◽  
Pericardial Window ◽  
Echocardiographic Finding ◽  
Malignant Pericardial Effusion ◽  
Physical Findings ◽  
Age Range ◽  
Effusive Constrictive Pericarditis ◽  
Video Assisted Thoracoscopic Surgery

Pericardial effusion defines the presence of an abnormal amount and/or character of fluid in the pericardial space. It can be acute or chronic and caused by a variety of local and systemic disorders, or it may be idiopathic. Pericardial effusion can be relieved by medical treatment, pericardiocentesis through a needle with or without echocardiographic guidance, or by surgical procedures, such as subxiphoid pericardial tube drainage, by creating a pericardial window through a left anterior thoracotomy, or by video assisted thoracoscopic surgery (VATS) Subxiphoid pericardial window drainages were done on 35 patients with symptomatic pericardial effusion in the Department of cardiac surgery, BSMMU, from February, 1995 through July, 2009, and were all included in this retrospective observational study. The inclusion criteria were an established diagnosis of pericardial effusion confirmed by history, physical findings and transthoracic echocardiography, hemodynamic alteration as evidenced by hypotension( systolic blood pressure < 90 mm of Hg), shortness of breath, echocardiographic finding of > 10 mm echo free space with/ without compression of heart, recurrence after pericardiocentesis, haemorrhagic or thick pericardial effusion and malignant pericardial effusion. The exclusion criteria were loculated or post surgical pericardial effusion, effusive constrictive pericarditis or where formal thoracotomy was applied for drainage of effusion. Patients were followed up at one month and three months following the drainage procedure. The age range was from 13 years to 70 years (Mean 47.86 ± SD 15.20 years), 19 (54.28%) were male, 16(45.72%) were female. The symptomatology varied but cardiac and respiratory decompression overwhelmed other symptoms. In this study tuberculosis is the most common cause of pericardial effusion, idiopathic and malignancies are other important causes. Subxiphoid window drainage is an effective process in relieving pericardial effusion and the reaccumulation rate is low. Key words: Subxiphoid window drainage; Surgical drainage of pericardial effusion; Pericardial effusion. DOI: 10.3329/uhj.v5i2.4558 University Heart Journal Vol.5(2) July 2009 pp.71-74

scholarly journals Cardiac tamponade due to malignant pericardial effusion in breast cancer: A case report

2016 ◽  
Vol 9 (1) ◽  
pp. 53
Author(s):  
Sultan Mahmud ◽  
Omar Sadeque Khan ◽  
Md. Aftabuddin ◽  
Asit Baran Adhikary
Keyword(s):  
Breast Cancer ◽  
Pericardial Effusion ◽  
Cardiac Tamponade ◽  
Duct Cell ◽  
Pericardial Fluid ◽  
Pericardial Window ◽  
Severe Respiratory Distress ◽  
Malignant Pericardial Effusion ◽  
History Of ◽  
Subxiphoid Pericardial Window

We present a case of 35 years old women who presented to our institution with a history of bilateral infiltrating duct cell carcinoma of breast, chest pain with heaviness, severe respiratory distress and hypotension. Echocardiography revealed massive pericardial effusion with features of cardiac tamponade. The patient was treated with urgent pericardiocentesis followed by subxiphoid pericardial window drainage of 500ml of haemorrhagic pericardial fluid. Cytological examina­tion confirmed the previous suspicious of malignancy. The patient tolerated the procedure very well, immediate sympto­matic relief was observed.

Subxiphoidal pericardial ‘window’ in the management of malignant pericardial effusion

1995 ◽  
Vol 21 (5) ◽  
pp. 545-547 ◽  
Author(s):  
P.P. Vassilopoulos ◽  
K. Nikolaidis ◽  
E. Filopoulos ◽  
J. Griniatsos ◽  
A. Efremidou
Keyword(s):  
Pericardial Effusion ◽  
Pericardial Window ◽  
Malignant Pericardial Effusion

scholarly journals Incarcerated intrapericardial diaphragmatic hernia after laparoscopic pericardial window for malignant pericardial effusion

2021 ◽  
Vol 2 (5) ◽  
Author(s):  
Ekhlas S Bardisi ◽  
◽  
Luning Redmer ◽  
Luk Verlaeckt ◽  
Filip Vanrykel ◽  
...  
Keyword(s):  
Pericardial Effusion ◽  
Diaphragmatic Hernia ◽  
Lung Ventilation ◽  
Pericardial Tamponade ◽  
Pericardial Window ◽  
Malignant Pericardial Effusion ◽  
Minimally Invasive Surgical ◽  
Thoracic Drainage ◽  
Treatment Measures ◽  
Intrapericardial Diaphragmatic Hernia

Laparoscopic Pericardial Window (LPW) is a safe, minimally invasive surgical technique for treating pericardial effusion/tamponade. This technique allows adequate decompression and avoids single-lung ventilation and the need for thoracic drainage in severely ill patients; it also provides anatomopathological and microbiological diagnosis leading to treatment measures. An intrapericardial diaphragmatic hernia is among the rarest complications of this procedure. A 85-year-old man, who underwent LPW for pericardial tamponade, presented to the emergency department 12 days post-operative with bowel obstruction; CT scan showed an incarcerated hernia into the pericardial sac. Laparoscopic reduction and hernia repair were performed using a large-pore Mesh to allow further drainage of histologically proven malignant pericardial effusion. Keywords: pericardial tamponade; pericardial window; surgical drainage of pericardial effusion; intra-pericardial diaphragmatic hernia.

Outcomes after pericardial window surgery (PWS) for palliation of malignant pericardial effusion (MPE).

2018 ◽  
Vol 36 (15_suppl) ◽  
pp. e22193-e22193 ◽  
Author(s):  
Raúl Alejandro López Saucedo ◽  
Edgardo Jimenez-Fuentes ◽  
Miguel Patricio Moscoso-Fernandez Salvador ◽  
Josue Andres Gonzalez-Luna ◽  
Oscar Gerardo Arrieta Rodriguez ◽  
...  
Keyword(s):  
Pericardial Effusion ◽  
Pericardial Window ◽  
Malignant Pericardial Effusion

Pericardial Window for Malignant Pericardial Effusion

1980 ◽  
Vol 30 (5) ◽  
pp. 465-471 ◽  
Author(s):  
John R. Hankins ◽  
John R. Satterfield ◽  
Joseph Aisner ◽  
Peter H. Wiernik ◽  
Joseph S. McLaughlin
Keyword(s):  
Pericardial Effusion ◽  
Pericardial Window ◽  
Malignant Pericardial Effusion

1101 Multimodality imaging in the assessment of pericardial malign disease

2020 ◽  
Vol 21 (Supplement_1) ◽  
Author(s):  
M Codina ◽  
G Ramirez-Escudero Ugalde ◽  
A Manzanal Rey ◽  
N Garcia Ibarrondo ◽  
S Cisneros Carpio ◽  
...  
Keyword(s):  
Pericardial Effusion ◽  
Multimodality Imaging ◽  
Stage Iv ◽  
Pericardial Fluid ◽  
Fluid Composition ◽  
Blood Oxygen Saturation ◽  
Pericardial Window ◽  
Malignant Pericardial Effusion ◽  
Multiple Metastases ◽  
Poor Tolerance

Abstract Metastases to the heart and pericardium are discovered at autopsy in 10%–12% of all patients with malignancies. The most common primary tumor involving the pericardium is lung cancer, followed by breast, melanoma, and lymphoma. Pericardial effusion may be the result of the tumor spreading to the visceral pericardium which increases production of fluid, or accumulation of the fluid due to the obstruction of venous and lymphatic outflow. A malignant pericardial effusion is associated with decreased survival rate. We present a 72 year-old woman, former smoker with dyslipidemia and psoriatic arthritis as well as previous bladder carcinoma that was healed in 1986. On august 2017 after an acute intestinal obstruction she was diagnosed with stage IV ileum adenocarcinoma treated initially with palliative chemotherapy (Capecitabine and oxaliplatin) that was suspended for poor tolerance and according to patient desire. Few months later the patient complained of rapidly progressive dyspnoea that prevented her normal life activity, arterial pressure and blood oxygen saturation was normal, but she was tachycardic. Echocardiogram was performed (see figure) which showed marked pericardial nodular thickening and severe pericardial effusion with echocardiographic signs of cardiac tamponade. Curiously, pericardial effusion was dense and markedly hyperechogenic. A computed tomography (CT) was performed to rule out pericardial carcinomatosis and find out the pericardial fluid composition and demostrated several pericardial nodular thickenings that suggested metastases. The pericardial fluid was dense (40 hounsfield units) and consistent with blood. After multidispiplinar consultation and in accordance with patients wishes a palliative pericardial window was performed and hematic pericardial fluid was obtained. Pericardial liquid citology demonstrates atipical cells compatible with carcinoma and pericardial biospy showed fibrinous pericarditis and reactive mesothelial hyperplasia. Pericardial carcinomatosis consists of macroscopic or microscopic affection of pericardial layers. Metastasis from colorectal cancer to the pericardium is uncommon, and usually indicates terminal stage with multiple metastases, only a few cases have been reported. Malignant Pericardial effusions in patients with cancer may also be triggered by other mechanism than cancer itself, including chemotherapy, radiation therapy, and, less commonly, an infectious disease. Whereas echocardiography is most frequently used to examine the heart and pericardium, multimodaliy imaging with magnetic resonance (MR) or/and CT offer advantages when dealing with metastatic disease. Abstract 1101 Figure. Echocardiogram and CT images

scholarly journals Survival post surgery for malignant pericardial effusion

2011 ◽  
Vol 1 (2) ◽  
pp. 38 ◽  
Author(s):  
Olivier Nguyen ◽  
Denise Ouellette
Keyword(s):  
Lung Cancer ◽  
Pericardial Effusion ◽  
Survival Rates ◽  
Primary Lung Cancer ◽  
Pericardial Window ◽  
Term Survival ◽  
Advanced Malignancy ◽  
Malignant Pericardial Effusion ◽  
Post Surgery ◽  
Subxiphoid Pericardial Window

The study reviews the survival of patients with malignant pericardial effusion treated with a subxiphoid pericardial window. The medical records of 60 consecutive patients diagnosed with a malignant pericardial effusion and treated with a subxiphoid pericardial window between 1994 and 2008 were reviewed. 72% had lung cancer. Overall 30-day mortality was 31%. Survival rates at 3 months, 6 months, 1 year, and 2 years were 45%, 28%, 17%, and 9%, respectively. Overall median survival was 2.6 months. Patients with malignant pericardial effusion, especially those with primary lung cancer have poor survival rates. In advanced malignancy, the subxiphoid pericardial window procedure provides only short-term palliation of symptoms, and has no effect on long-term survival. The use of any surgical procedure in patients with malignant advanced pericardial effusion should be considered along with nonsurgical options on a case-by-case basis depending on symptoms, general status, and expected survival.

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