Pericardioperitoneal and pericardiopleural windows: Drainage
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Pericardial effusion can lead to cardiac tamponade and chronic heart failure. Drainage procedures for pericardial effusion are currently used in clinical settings. Pericardioperitoneal and pericardiopleural window techniques prevent pericardial effusion recurrence.

Investigators present a case of a 58-year old female with recurrent pericardial effusion secondary to systemic lupus erythematosus. Since she was relatively young and on steroids, long-term patency of pericardial fenestration needed to be insured without any device. Hence, they created 2 pericardial windows, pericardioperitoneal and pericardiopleural, via a single-incision subxiphoid approach to allow the effusion to drain into the abdominal and thoracic cavities.

It is important to efficiently manage pericardial effusion because it can lead to more serious conditions such as cardiac tamponade and chronic heart failure. The technique, which involves making a small incision, can reduce the risk of recurrence.

In particular, the simultaneous creation of pericardioperitoneal and pericardiopleural windows is simple and can be feasibly performed to prevent the recurrence of pericardial effusion.

International Journal of Surgery Case Reports
Source: https://doi.org/10.1016/j.ijscr.2021.105962
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