Themelin N, Cappeliez S, Houben JJ, El Nakadi B. A successful transdiaphragmatic shunting for a late and recurrent pericardial effusion following coronary bypass.
Interact Cardiovasc Thorac Surg 2017;
25:140-141. [PMID:
28329193 DOI:
10.1093/icvts/ivx021]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2016] [Accepted: 01/03/2017] [Indexed: 11/13/2022] Open
Abstract
Although pericardial effusion (PE) is common after cardiac surgery, late and recurrent cardiac tamponade that occurs more than 5-7 days after coronary artery bypass grafting is an infrequent complication. Moreover, the treatment of PE resistant to medical therapy, percutaneous drainage and pleuro-pericardial window remains a therapeutic challenge. We report the case of a recalcitrant PE with high-daily volume outflow drainage, finally treated with success, with a transdiaphragmatic pleuro-peritoneal shunting by laparoscopic approach.
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