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  • Title: A Simple Modified Technique of Pleuropericardial Window: Towards 0% Recurrence.
    Author: Hemead HM, Saleh A, Hassanein W.
    Journal: Braz J Cardiovasc Surg; 2023 May 04; 38(3):405-406. PubMed ID: 36459477.
    Abstract:
    Recurrent pericardial effusion is commonly encountered in neoplastic and infective disorders. Intervention is compulsory in patients with unstable hemodynamics and tamponading effusion. Surgical options include: pericardiocentesis, subxiphoid pericardiostomy, and pericardial window. The latter has proved to have lower incidence of recurrence; however, the technique has been continuously refined to improve the recurrence-free survival and decrease postoperative morbidity. We herein present a novel simple modification to minimize recurrence by anchoring the free edges of pericardial fenestration overlying the superior vena cava and right atrium to the chest wall. Follow-up showed no recurrence compared to 3.5% in the conventional procedure.
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