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pericardial window
Indications:
- pericardial effusion
- not responsive to pericardiocentesis
- chylopericardium
- postoperative hemopericardium
- *early fungal pericarditis or tuberculous pericarditis
- *part of mediastinal debridement, in patients with descending mediastinitis
Contraindications:
- pericardiotomy or pericardiectomy indicated
* pericardiocentesis should be attempted first [2]
Procedure:
- excision of a portion of the pericardium, which allows an effusion to drain continuously into the peritoneum or chest
Related
pericardiectomy
General
cardiac surgery (heart surgery)
surgical resection (excision)
References
- Mueller DK, Yang EH
Pericardial Window
http://emedicine.medscape.com/article/1829679-overview
- Medical Knowledge Self Assessment Program (MKSAP) 17,
American College of Physicians, Philadelphia 2015