scholarly journals A Case of Surgical Treatment Applying a Denver Shunt for Intractable Pericardial Effusion

2019 ◽  
Vol 48 (2) ◽  
pp. 125-127
Author(s):  
Sojiro Amamoto ◽  
Manabu Sato ◽  
Hiromitsu Kawasaki ◽  
Kozo Naito
Keyword(s):  
Surgical Treatment ◽  
Pericardial Effusion ◽  
Denver Shunt

A case of surgery applying a Denver shunt for intractable pericardial effusion*

2019 ◽  
Vol 28 (2) ◽  
pp. 126-128
Author(s):  
Sojiro Amamoto ◽  
Manabu Sato ◽  
Hiromitsu Kawasaki ◽  
Kozo Naito
Keyword(s):  
Heart Failure ◽  
Systemic Lupus Erythematosus ◽  
Surgical Treatment ◽  
Pericardial Effusion ◽  
Lupus Erythematosus ◽  
Systemic Lupus ◽  
Postoperative Course ◽  
Pericardial Fenestration ◽  
Denver Shunt

We report our experience in the application of a Denver shunt as surgical treatment for intractable pericardial effusion. The patient was a 60-year-old woman who suffered from pericarditis accompanied by intractable pericardial effusion as complications of systemic lupus erythematosus. Pericardial fenestration with thoracoscopic assistance and a right pleuroperitoneal shunt using a Denver shunt were performed as surgical treatment. Postoperatively, the patient’s heart failure symptoms disappeared and her pericardial effusion was considerably reduced. The postoperative course was uneventful without recurrence after a 2-year follow-up period.

scholarly journals МОЖЛИВОСТІ ВИКОРИСТАННЯ ПЕРИКАРДІОСКОПІЇ

World Science ◽  
2019 ◽  
Vol 2 (2(42)) ◽  
pp. 19-21
Author(s):  
Комарчук В. В. ◽  
Урсол Г. М. ◽  
Комарчук Є. В.
Keyword(s):  
Surgical Treatment ◽  
Pericardial Effusion ◽  
Minimally Invasive ◽  
Diagnosis And Treatment ◽  
Traditional Methods

Pericardial effusion is the most common pericardial pathology. This disease has been described even during the days of Hippocrates. The first method of drainage of pericardium was described by Larrey in 1810. Since then, the number of interventions in the pericardium has increased significantly and diversified. Novadays minimally invasive interventions have become increasingly important.The aim of our study. To estimate the application results of pericardioscopy during the diagnosis and treatment of pericardial deseases. Materials and methods. The application results of pericardioscopy during surgical treatment of 1958 patients with various diseases were analyzed and estimated.Results. In contradistinction to traditional methods, the pericardioscopy helps to reduce operational trauma, the risk of complications and relapses without reducing the quality of treatment.Conclusions. Using pericardioscopy can significantly reduce the time of diagnostic, treatment and rehabilitation, as well as increase their effectiveness.

scholarly journals ROLE OF THE PERICARDIOSCOPY IN THE TREATMENT OF PERICARDIAL EFFUSION

2018 ◽  
Vol 4 ◽  
pp. 29-34
Author(s):  
Yulia Pisklova
Keyword(s):  
Surgical Treatment ◽  
Pericardial Effusion ◽  
Minimally Invasive ◽  
Reliable Difference ◽  
The Right

In recent years surgical treatment of pericardial effusion has been favoured by mini-invasive interventions. Pericardioscopy supplements it. In the literature actively discusses its expediency, efficiency and informativeness. Aim of the study. Analyze our experience of using pericardioscopy during surgical treatment of pericardial effusion using mini-invasive interventions. Materials and methods. From 2000 to 2017, 92 patients with pericardial effusion were operated in our clinic using mini-invasive interventions. Pericardioscopy was used in 72 (78.26 %) cases. In 32 (44.44 %) pericardioscopy was performed with subxiphoid pericardiotomy, in 40 (55.56 %) – with thoracoscopy on the right or left side. Results and discussion. The use of pericardioscopy has allowed to significantly reduce the number of idiopathic pericarditis from 20.0 % to 5.56 % and increase the informativeness of the minimally invasive interventions by 14.44 % (χ2 = 4.11, with ν = 1, α = 5 %). There is no reliable difference in the number of relapses of the disease. Conclusions. The use of pericardioscopy during mini-invasive interventions is safe and effective. The method of choice in most cases is subxiphoid non-pleural pericardiotomy with pericardioscopy.

Surgical treatment of idiopathic pericardial effusion in the dog: 25 cases (1978-1993)

1999 ◽  
Vol 35 (6) ◽  
pp. 521-525 ◽  
Author(s):  
MG Aronsohn ◽  
JL Carpenter
Keyword(s):  
Surgical Treatment ◽  
Foreign Body ◽  
Pericardial Effusion ◽  
Granulation Tissue ◽  
Postoperative Period ◽  
Original Condition ◽  
Histopathological Evaluation ◽  
One Year

Twenty-five cases of canine idiopathic pericardial effusion are described. All were treated surgically and underwent thoracotomy and pericardectomy, with histopathological evaluation of the resected pericardial sac. No tumor, infection, granulation tissue, or foreign body was found. Thirteen of the 25 dogs were golden retrievers, and all were large or giant breeds. Three (12%) died in the immediate postoperative period, and four (16%) died within one year of signs possibly related to the original condition. Eighteen (72%) survived at least 18 months; seven died or were euthanized for reasons unrelated to pericardial effusion (median, 44 months); and 11 were still alive at last contact (median, 61 months).

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