Pericardioperitoneal Fenestration for Chylopericardium

Objective & Hypothesis:Two patients were given a pericardial-peritoneal window (PPW) using a subxiphoid approach for chylous pericardial effusion.

📊

Key Findings & Data:Complete drainage without recurrence was achieved with PPW in a 22-year-old female patient who had recurrent chylopericardium associated with Klippel-Trénaunay syndrome and in an 11-year-old girl with tricuspid atresia who had undergone the Fontan procedure.

💡

Conclusion & Impact:We describe the technique, its clinical characteristics, and the results of patients undergoing this treatment.

🔬Design:Research Article

📍Scope:Comprehensive Sample

⚙️Variables:Domain Parameters

Abstract

Two patients were given a pericardial-peritoneal window (PPW) using a subxiphoid approach for chylous pericardial effusion. Complete drainage without recurrence was achieved with PPW in a 22-year-old female patient who had recurrent chylopericardium associated with Klippel-Trénaunay syndrome and in an 11-year-old girl with tricuspid atresia who had undergone the Fontan procedure. PPW is a simple, easy-to-learn, safe, and effective procedure. It creates a communication between the pericardial and peritoneal cavities and is applicable in most patients with noninfectious benign pericardial effusion without serious complications and where adequate drainage can be obtained without the need for external draining systems. We describe the technique, its clinical characteristics, and the results of patients undergoing this treatment.

🔖

Cite This Article

TUNÇAY, A., AKÇALI, Y., SERHATLIOĞLU, F., ÖZMEN, R., GAZİOĞLU, Ö. (2016). Pericardioperitoneal Fenestration for Chylopericardium. Erciyes Medical Journal, Cilt: 38 - Sayı: 2, 84–87. https://ajindex.com/articles/204244

📄 Full Text PDF Viewer

Open in New Tab ↗

↗New Tab

📄

PDF görüntüleyici hazırlanıyor...

References (5)

Helms SR, Carlson MD. Cardiovascular emergencies. Semin Oncol 1989; 16(6): 463-70.
Ancalmo N, Ochsner JL. Pericardioperitoneal window. Ann Thorac Surg 1993; 55(2): 541-2. [CrossRef] Watarida S, Shiraishi S, Matsubayashi K, Imura M, Nishi T. Pericar- dial-peritoneal window for chronic exudative pericarditis using a sub- xiphoidal approach: report of three cases. Surg Today 2002; 32(5): 410-3. [CrossRef] Mayer HJ. Transdiaphragmatic pericardial window: a new approach. J Cardiovasc Surg 1993; 34(2): 173-5.
Mack MJ, Landreneau RJ, Hazelrigg SR, Acuff TE. Video thoraco- scopic management of benign and malignant pericardial effusions. Chest 1993; 103(4 Suppl): 390S-3S. [CrossRef] Molnar TF, Jeyasingham K. Pericardial-peritoneal shunt for persistent pericardial effusions: a new drainage procedure. Ann Thorac Surg 1992; 54(3): 569-70. [CrossRef] Ziskind AA, Pearce AC, Lemmon CC, Burstein S, Gimple LW, Her- rmann HC, et al. Percutaneous balloon pericardiotomy for the treat- ment of cardiac tamponade and large pericardial effusions: description of technique and report of the first 50 cases. J Am Coll Cardiol 1993; 21(1): 1-5. [CrossRef] Hingorani AD, Bloomberg TJ. Ultrasound-guided pigtail catheter drainage of malignant pericardial effusions. Clin Radiol 1995; 50(1): 15-19. [CrossRef] Piehler JM, Pluth JR, Schaff HV, Danielson GK, Orszulak TA, Puga FJ. Surgical management of effusive pericardial disease. Influence of extent of pericardial resection on clinical course. J Thorac Cardiovasc Surg 1985; 90(4): 506-16.
Hazelrigg SR, Mack MJ, Landreneau RJ, Acuff TE, Seifert PE, Auer JE. Thoracoscopic pericardiectomy for effusive pericardial disease. Ann Thorac Surg 1993; 56(3): 792-5. [CrossRef] Olson JE, Ryan MB, Blumenstock DA. Eleven years' experience with pericardial-peritoneal window in the management of malignant and benign pericardial effusions. Ann Surg Oncol 1995; 2(2): 165-9. [CrossRef] Moores DW, Dziuban SW Jr. Pericardial drainage procedures. Chest Surg Clin North Am 1995; 5(2): 359-73.
Ready A, Black J, Lewis R, Roscoe B. Laparoscopic pericardial fen- estration for malignant pericardial effusion. Lancet 1992; 339(8809): 1609. [CrossRef] Frank MW, Prystowsky J, Soper W. Laparoscopic pericardiotomy, bi- opsy, and external drainage. J Laparoendosc Surg 1995; 5(2): 113-7. [CrossRef] Rodriguez MI, Ash K, Foley RW, Liston W. Pericardio- peritoneal window: laparoscopic approach. Surg Endosc 1999; 13(4): 409-11. [CrossRef] Wang N, Feikes JR, Mogensen T, Vyhmeister EE