Pleuro-peritoneal Shunting for Refractory Pericardial Effusion after Coronary Artery Bypass Grafting
10.4326/jjcvs.39.343
- VernacularTitle:胸腔-腹腔シャント造設を要した冠動脈バイパス術後再発性心タンポナーデの1例
- Author:
Takashi Matsumoto
;
Masayoshi Umesue
;
Hironori Baba
;
Kanzi Matsui
- Publication Type:Journal Article
- Keywords:
cardiac tamponade;
pleuroperitoneal shunt;
coronary artery bypass grafting
- From:Japanese Journal of Cardiovascular Surgery
2010;39(6):343-346
- CountryJapan
- Language:Japanese
-
Abstract:
A-75-year-old man had refractory late cardiac tamponade after an off-pump coronary artery bypass grafting. He was initially treated by pericardiocentesis with oral nonsteroidal anti-inflammatory drugs, but the treatment failed. Pericardial fenestration was conducted twice for refractory pericardial effusion during his hospitalization. He presented again with recurrence of cardiac tamponade 2 months after the last pericardial fenestration. Therefore, a pleuroperitoneal shunt system was implanted. He recovered well and was discharged without reaccumulation of pericardial effusion.
