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Pericardial window

January 01, 1970

A pericardial window is a cardiac surgical procedure to create a fistula – or "window" – from the pericardial space to the pleural cavity.[1] The purpose of the window is to allow a pericardial effusion or cardiac tamponade to drain from the space surrounding the heart into the chest cavity.[2]

Pericardial window
ICD-9-CM37.12
[edit on Wikidata]

Uses edit

Pericardial window may be used to treat pericardial effusion and cardiac tamponade.[2][3] It is the most common procedure to treat pericardial effusion, particularly if caused by cancer.[4] Untreated, these can lead to death. The pericardial window decreases the incidence of postoperative pericardial tamponade and new-onset atrial fibrillation after open-heart surgery.[5]

Risks edit

Creation of a pericardial window is a major surgical procedure.[6] To remove pericardial fluid, other more minor techniques should be considered first, such as pericardiocentesis.[4]

Technique edit

Pericardial window is usually performed under general anaesthetic by a cardiac surgeon. They may make an open surgical incision of up to 10 cm.[6] This is usually located below the xiphoid process of the sternum (sub-xiphoid).[4] Alternatively, access may be gained thoracoscopically with a smaller surgical incision.[3][7] A small hole of between 1 cm and 2 cm is cut in the pericardium, which is the membrane that surrounds the heart.[6] This allows for any pericardial fluid and other fluid to escape from the pericardium.[6]

History edit

Pericardial window was first performed by Baron Dominique Jean Larrey in 1829.[6][8]

Other animals edit

Pericardial windows are commonly used in veterinary medicine to treat pericardial effusion.[7] Whereas a sub-xiphoid skin incision is preferred in humans, a left para-xiphoid skin incision is preferred in cats.[9]

References edit

  1. ^ Stuart J. Hutchison (2008). Pericardial diseases: clinical diagnostic imaging atlas. Elsevier Health Sciences. pp. 93–. ISBN 978-1-4160-5274-6. Retrieved 10 November 2010.
  2. ^ a b Ghavidel, Alireza Alizadeh; Hosseini, Saeid (2018-01-01), Maleki, Majid; Alizadehasl, Azin; Haghjoo, Majid (eds.), "Chapter 37 - Principles of Cardiovascular Surgery", Practical Cardiology, Elsevier, pp. 647–659, doi:10.1016/b978-0-323-51149-0.00037-7, ISBN 978-0-323-51149-0, retrieved 2020-12-02
  3. ^ a b Laste, Nancy J (2009-01-01), Silverstein, Deborah C.; Hopper, Kate (eds.), "Chapter 44 - Pericardial Diseases", Small Animal Critical Care Medicine, Saint Louis: W.B. Saunders, pp. 184–188, doi:10.1016/b978-1-4160-2591-7.10044-x, ISBN 978-1-4160-2591-7, retrieved 2020-12-02
  4. ^ a b c Fashoyin-Aje, Lola A.; Brahmer, Julie R. (2020-01-01), Niederhuber, John E.; Armitage, James O.; Kastan, Michael B.; Doroshow, James H. (eds.), "59 - Malignancy-Related Effusions", Abeloff's Clinical Oncology (Sixth Edition), Philadelphia: Elsevier, pp. 863–873.e4, doi:10.1016/b978-0-323-47674-4.00059-1, ISBN 978-0-323-47674-4, S2CID 198374790, retrieved 2020-12-02
  5. ^ Zhao J (Apr 2014). "Does posterior pericardial window technique prevent pericardial tamponade after cardiac surgery?". J Int Med Res. 42 (2): 416–26. doi:10.1177/0300060513515436. PMID 24553479.
  6. ^ a b c d e Asensio, Juan A.; García-Núñez, Luis Manuel; Petrone, Patrizio; Duran, Dominic; Vara, Alexander D.; Weston, John S.; Gmora, Scott B.; Feinstein, Ara; Robinson, Donald (2008-01-01), Asensio, JIan A.; Trunkey, Donald D. (eds.), "Cardiac Injuries", Current Therapy of Trauma and Surgical Critical Care, Philadelphia: Mosby, pp. 304–315, doi:10.1016/b978-0-323-04418-9.50044-8, ISBN 978-0-323-04418-9, retrieved 2020-12-02
  7. ^ a b Clarke, Dana L.; Culp, William T. N. (2015-01-01), Silverstein, Deborah C.; Hopper, Kate (eds.), "Chapter 136 – Minimally Invasive Procedures", Small Animal Critical Care Medicine (Second Edition), St. Louis: W.B. Saunders, pp. 715–721, doi:10.1016/b978-1-4557-0306-7.00136-7, ISBN 978-1-4557-0306-7, retrieved 2020-12-02
  8. ^ Larrey, D. J. (1829). "New surgical procedure to open the pericardium in case of fluid in its cavity". Clinical Chir. 2: 303–307.
  9. ^ van Nimwegen, S. A.; Kirpensteijn, J. (2014-01-01), Langley-Hobbs, Sorrel J.; Demetriou, Jackie L.; Ladlow, Jane F. (eds.), "Chapter 42 – Thoracoscopy", Feline Soft Tissue and General Surgery, W.B. Saunders, pp. 487–493, doi:10.1016/b978-0-7020-4336-9.00042-1, ISBN 978-0-7020-4336-9, retrieved 2020-12-02

External links edit


     

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    January 01, 1970
    pericardial, window, pericardial, window, cardiac, surgical, procedure, create, fistula, window, from, pericardial, space, pleural, cavity, purpose, window, allow, pericardial, effusion, cardiac, tamponade, drain, from, space, surrounding, heart, into, chest, . A pericardial window is a cardiac surgical procedure to create a fistula or window from the pericardial space to the pleural cavity 1 The purpose of the window is to allow a pericardial effusion or cardiac tamponade to drain from the space surrounding the heart into the chest cavity 2 Pericardial windowICD 9 CM37 12 edit on Wikidata Contents 1 Uses 2 Risks 3 Technique 4 History 5 Other animals 6 References 7 External linksUses editPericardial window may be used to treat pericardial effusion and cardiac tamponade 2 3 It is the most common procedure to treat pericardial effusion particularly if caused by cancer 4 Untreated these can lead to death The pericardial window decreases the incidence of postoperative pericardial tamponade and new onset atrial fibrillation after open heart surgery 5 Risks editCreation of a pericardial window is a major surgical procedure 6 To remove pericardial fluid other more minor techniques should be considered first such as pericardiocentesis 4 Technique editPericardial window is usually performed under general anaesthetic by a cardiac surgeon They may make an open surgical incision of up to 10 cm 6 This is usually located below the xiphoid process of the sternum sub xiphoid 4 Alternatively access may be gained thoracoscopically with a smaller surgical incision 3 7 A small hole of between 1 cm and 2 cm is cut in the pericardium which is the membrane that surrounds the heart 6 This allows for any pericardial fluid and other fluid to escape from the pericardium 6 History editPericardial window was first performed by Baron Dominique Jean Larrey in 1829 6 8 Other animals editPericardial windows are commonly used in veterinary medicine to treat pericardial effusion 7 Whereas a sub xiphoid skin incision is preferred in humans a left para xiphoid skin incision is preferred in cats 9 References edit Stuart J Hutchison 2008 Pericardial diseases clinical diagnostic imaging atlas Elsevier Health Sciences pp 93 ISBN 978 1 4160 5274 6 Retrieved 10 November 2010 a b Ghavidel Alireza Alizadeh Hosseini Saeid 2018 01 01 Maleki Majid Alizadehasl Azin Haghjoo Majid eds Chapter 37 Principles of Cardiovascular Surgery Practical Cardiology Elsevier pp 647 659 doi 10 1016 b978 0 323 51149 0 00037 7 ISBN 978 0 323 51149 0 retrieved 2020 12 02 a b Laste Nancy J 2009 01 01 Silverstein Deborah C Hopper Kate eds Chapter 44 Pericardial Diseases Small Animal Critical Care Medicine Saint Louis W B Saunders pp 184 188 doi 10 1016 b978 1 4160 2591 7 10044 x ISBN 978 1 4160 2591 7 retrieved 2020 12 02 a b c Fashoyin Aje Lola A Brahmer Julie R 2020 01 01 Niederhuber John E Armitage James O Kastan Michael B Doroshow James H eds 59 Malignancy Related Effusions Abeloff s Clinical Oncology Sixth Edition Philadelphia Elsevier pp 863 873 e4 doi 10 1016 b978 0 323 47674 4 00059 1 ISBN 978 0 323 47674 4 S2CID 198374790 retrieved 2020 12 02 Zhao J Apr 2014 Does posterior pericardial window technique prevent pericardial tamponade after cardiac surgery J Int Med Res 42 2 416 26 doi 10 1177 0300060513515436 PMID 24553479 a b c d e Asensio Juan A Garcia Nunez Luis Manuel Petrone Patrizio Duran Dominic Vara Alexander D Weston John S Gmora Scott B Feinstein Ara Robinson Donald 2008 01 01 Asensio JIan A Trunkey Donald D eds Cardiac Injuries Current Therapy of Trauma and Surgical Critical Care Philadelphia Mosby pp 304 315 doi 10 1016 b978 0 323 04418 9 50044 8 ISBN 978 0 323 04418 9 retrieved 2020 12 02 a b Clarke Dana L Culp William T N 2015 01 01 Silverstein Deborah C Hopper Kate eds Chapter 136 Minimally Invasive Procedures Small Animal Critical Care Medicine Second Edition St Louis W B Saunders pp 715 721 doi 10 1016 b978 1 4557 0306 7 00136 7 ISBN 978 1 4557 0306 7 retrieved 2020 12 02 Larrey D J 1829 New surgical procedure to open the pericardium in case of fluid in its cavity Clinical Chir 2 303 307 van Nimwegen S A Kirpensteijn J 2014 01 01 Langley Hobbs Sorrel J Demetriou Jackie L Ladlow Jane F eds Chapter 42 Thoracoscopy Feline Soft Tissue and General Surgery W B Saunders pp 487 493 doi 10 1016 b978 0 7020 4336 9 00042 1 ISBN 978 0 7020 4336 9 retrieved 2020 12 02External links editCardiac Surgery in the Adult Pericardial disease nbsp This medical treatment related article is a stub You can help Wikipedia by expanding it vte Retrieved from https en wikipedia org w index php title Pericardial window amp oldid 1167779006, wikipedia, wiki, book, books, library,

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