A Case of Surgical Treatment Applying a Denver Shunt for Intractable Pericardial Effusion
- VernacularTitle:デンバーシャントを応用した難治性心嚢液貯留に対する1例
- Author:
Sojiro AMAMOTO
1
;
Manabu SATO
1
;
Hiromitsu KAWASAKI
1
;
Kozo NAITO
1
Author Information
- Keywords: pericardial effusion; Denver shun; pericardial fenestration; pleuro-peritoneal shunt
- From:Japanese Journal of Cardiovascular Surgery 2019;48(2):125-127
- CountryJapan
- Language:Japanese
- Abstract: Surgical management is recommended for a patient with intractable pericardial effusion indicating medical treatment resistance and cardiac tamponade. We report our experience of surgical treatment applying a Denver shunt for intractable pericardial effusion. A 60-year-old woman suffered pericarditis accompanying pericardial effusion complications of systemic lupus erythematosus. She had repeatedly undergone pericardial drainage, however, there was a possibility of increased cardiac tamponade. Surgical treatment consisted of pericardial fenestration with thoracoscopic assist and right pleuro-peritoneal shunt using a Denver shunt. The heart failure symptoms disappeared and pericardial effusion considerably decreased after surgery. The postoperative course was uneventful without recurrence after 1-year of follow up. In the literature, postoperative complications such infection and shunt obstruction have been reported. Careful follow up is mandatory and selection of self-manageable cases is important.
