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Georgios P Georghiou
Eyal Porat
Avi Fuks
Bernardo A Vidne
Milton Saute
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ORIGINAL ARTICLE

Video-Assisted Pericardial Fenestration for Effusions after Cardiac Surgery

Georgios P Georghiou, MD, Eyal Porat, MD, Avi Fuks, MD, Bernardo A Vidne, MD, Milton Saute, MD

Department of Cardiothoracic Surgery, Rabin Medical Center, Beilinson Campus, Petah Tiqwa and Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel

Georgios P Georghiou, MD, Tel: +357 22819666, Fax: +357 22819667, Email: georgios_georghiou{at}cytanet.com.cy, Department of Cardiothoracic Surgery, American Heart Institute, PO Box 25610, 1311 Nicosia, Cyprus.

ABSTRACT

Delayed-onset pericardial effusion following cardiac surgery can give rise to significant morbidity due to its presentation as well as management by traditional surgical techniques. An institutional experience of a video-assisted thoracoscopic technique to create a pericardial window, with the advantages of a minimally invasive approach combined with excellent visualization in such patients, was reviewed. A retrospective analysis was conducted on all patients undergoing video-assisted thoracoscopic for delayed pericardial effusion after cardiac surgery from January 2001 to January 2006 at our center. Seven patients with echocardiographically diagnosed delayed tamponade underwent video-assisted thoracoscopy; 5 were receiving anticoagulants after valve replacement, and 2 had undergone heart transplantation. Pericardial windows were created under general anesthesia and single-lung ventilation using 2 to 3 trocars. Mean operative time was 45 min. There were no complications of the thoracoscopic technique. Video-assisted thoracoscopic creation of a pericardial window is safe and effective treatment for loculated pericardial effusions secondary to cardiac surgery.

Key Words: Cardiac Tamponade • Pericardial Effusion • Pericardiectomy • Pericardial Window Techniques • Thoracic Surgery • Video-Assisted

Asian Cardiovasc Thorac Ann 2009; 17:480-482
© 2009 by SAGE Publications
DOI: 10.1177/0218492309348505




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