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  • Title: [Thoracoscopic pericardial fenestration--diagnostic and therapeutic aspects].
    Author: Vogel B, Mall W.
    Journal: Pneumologie; 1990 Feb; 44 Suppl 1():184-5. PubMed ID: 2195512.
    Abstract:
    This article reports on four tumour patients with extensive, but cytologically innocuous pericardial effusion. In three cases, a tumour-cell-negative pleural effusion, on the left, was also present. Thoracoscopy showed that the pleura were unremarkable, whereupon, with the aid of the biopsy forceps--in one case the Nd:YAG laser--the pericardium was opened. The procedure provided diagnostically high-yielding material; in addition, pericardial tamponade was "permanently" eliminated (period of observation up to 4 years). This shows that, in addition to its diagnostic value, thoracoscopic pericardial fenestration also can be therapeutic. It represents an alternative to the surgical approach.
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