[Carcinomatous pericarditis successfully treated with thoracoscopic pericardial fenestration; report of a case].
Kyobu Geka
; 59(6): 512-5, 2006 Jun.
Article
em Ja
| MEDLINE
| ID: mdl-16780076
ABSTRACT
We report a case of malignant pericardial effusion after lung cancer surgery treated with thoracoscopic pericardial fenestration. The patient was admitted to our hospital because of dyspnea. Computed tomography (CT) and ultrasound cardiography (UCG) revealed cardiac tamponade which was diagnosed as carcinomatous pericarditis by cytology. We attempted to inject 25 mg of cisplatin (CDDP) into the pericardial space twice. The response of the treatment was unexpectedly poor for the patient. The thoracoscopic pericardial fenestration was performed and the patient was discharged without a drainage tube on the 17th postoperative day. Malignant pericardial effusion is a common complication of advanced cancers and is often associated with significant morbidity. Thoracoscopic pericardial fenestration appears to be a safe, effective and minimally invasive treatment for patients with malignant pericardial effusion. This surgery might also have a favorable effect on the improvement of the quality of life for patients with malignant pericardial effusion resistant to chemotherapy.
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Base de dados:
MEDLINE
Assunto principal:
Derrame Pericárdico
/
Pericardite
/
Toracoscopia
/
Técnicas de Janela Pericárdica
Tipo de estudo:
Etiology_studies
Limite:
Aged
/
Humans
/
Male
Idioma:
Ja
Revista:
Kyobu Geka
Ano de publicação:
2006
Tipo de documento:
Article
País de afiliação:
Japão