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  • Title: [Surgical treatment of chronic pericardial effusions. Personal experience].
    Author: Solaini L, Bagioni P, Grandi U, Angelini E, Amigoni A.
    Journal: Minerva Chir; 1996 Dec; 51(12):1079-82. PubMed ID: 9064578.
    Abstract:
    The authors report their experience about 15 patients surgically treated for chronic large pericardial effusion; in 12 cases the etiology was malignant neoplasm, while in the other 3 cases was inflammatory disease. In 4 patients a simple subxiphoid pericardial drainage was carried out, while in the other cases a pericardial window was performed. These cases were managed using an anterior left thoracotomy in 8 patients and a videothoracoscopy in 3. The authors conclude that pericardial window with videothoracoscopic approach is the preferable procedure, but it cannot be used in every case because a lot of patients have seriously compromised conditions and the use of this technique can be hazardous.
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