1.Some opinions of surgical treatment of pyopericarditis in children
Journal of Vietnamese Medicine 2001;256(2):46-48
We study on 3 children pyopericarditis on July 1996 at the Thoracic and Cardiovascular Surgery Department Cho Ray Hospital. All of patients come from Pediatric Hospital. Diagnostic: pyopericarditis with pus from pericardiocentesis. Operation: largely pericardiectomy. Result: all patients are in good condition when they are discharge.
Myocarditis
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Pericardiocentesis
;
Pericardiectomy
;
surgery
;
therapeutics
;
child
2.Clinical and Hemodynamic Observation on Constrictive Pericarditis.
Hong Soon LEE ; Jong Hwa KIM ; Woo Hyung LEE ; Yeong Cheol KIM ; Soo Woong YOO ; Hak Choong LEE ; Hoe Sung YU
Korean Circulation Journal 1983;13(1):97-105
A clinical study was done on 16 cases of constrictive pericarditis admitted to National Medical Center, from january, 1970 to October, 1982, were reviewed, conclusion as follows: 1) The patients with constrictive pericarditis generally revealed clinical features of right heart failure but low incidence of its characteristic features. 2) Hemodynamic and echocardiographic examinations were much helpful in confirmation of clinical diagnosis. 3) pericardiectomy was highly succesful in achievement of clinical improvement.
Diagnosis
;
Echocardiography
;
Heart Failure
;
Hemodynamics*
;
Humans
;
Incidence
;
Pericardiectomy
;
Pericarditis, Constrictive*
3.The Usefulness of Harmonic Scalpel During Pericardiectomy for Constrictive Pericariditis.
Do Hyung KIM ; Jung Cheul LEE ; Tae Eun JUNG ; Sung Sae HAN ; Jang Hoon LEE ; Dong Hyup LEE
The Korean Journal of Thoracic and Cardiovascular Surgery 2002;35(8):605-607
Harmonic Scalpel(Ethicon Endo-Surgery, Cincinnati, OH) has many advantages including no muscular stimulation, low heat, less smoke, easy hemostasis using ultrasound and good operation field. In patient with constrictive pericarditis, Harmonic Scalpel was beneficial during pericardiectomy.
Hemostasis
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Hot Temperature
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Humans
;
Pericardiectomy*
;
Pericarditis, Constrictive
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Smoke
;
Ultrasonography
4.Hemodynamic Changes in Patients Undergoing Pericardiectomy.
Xia RUAN ; Wei LIU ; Li-Jian PEI ; Guang-Jun CHEN ; Jing-Jie WANG ; Yu-Guang HUANG
Acta Academiae Medicinae Sinicae 2015;37(3):331-334
OBJECTIVETo observe the hemodynamic changes in patients undergoing pericardiectomy at different operational stages.
METHODSTotally 16 consecutive patients receiving radical pericardiectomy were enrolled in this observational study. Hemodynamic variables were monitored continuously by pulse-indicated continuous cardiac output(PiCCO)system. Totally,three sets of intraoperative hemodynamic parameters were obtained at three different stages of pericardiectomy.
RESULTSDuring the pericardiectomy,the cardiac index[CI,(1.9±0.6),(2.7±0.6),(3.0±0.5)L·min(-1)·m(-2);P<0.05]and stroke volume index[SI,(22.5±8.7),(29.9±8.5),(30.1±8.5)dyn·s·cm(-5)·m(2);P<0.05]showed significant improvement,whereas central venous pressure[CVP,(17.1±5.0),(13.3±3.9),(12.3±3.0)mmHg;P<0.05]decreased significantly. Global end-diastolic volume index[GEDVi,(533±156),(580±153),(559±144)ml·m(-2);P<0.05]increased and stroke volume variation[SVV,(15.6±6.1)%,(10.8±4.2)%,(9.4±5.4)%;P<0.05]decreased intra-operatively. The majority of the above-mentioned hemodynamic improvements occurred after the resection of pericardium over the left ventricular outflow tract(LVOT).
CONCLUSIONSPiCCO system can serve as a reliable,less invasive hemodynamic monitoring method during pericardiectomy. Resection of the pericardium over the LVOT is the most important step of the pericardiectomy.
Cardiac Output ; Heart ; Heart Rate ; Hemodynamics ; Humans ; Pericardiectomy ; Stroke Volume
5.Malignant Pericardial Mesothelioma Misdiagnosed as Constrictive Pericarditis.
The Korean Journal of Thoracic and Cardiovascular Surgery 2005;38(8):576-578
We report aprimary malignant pericardial mesothelioma. Thirty-eight-year-old male patient complained of dyspnea and chest pain with left shoulder pain. At first, we thought it was because of tuberculous constrictive pericarditis and performed medical management for one and a half years. But, the above symptom recurred repeatedly; therefore we did pericardiectomy and diagnosed his case as malignant pericardial mesothelioma. Tumor was sticked to the myocardium and complete resection was impossible. He received postoperative chemoradiotherapy.
Chemoradiotherapy
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Chest Pain
;
Dyspnea
;
Humans
;
Male
;
Mesothelioma*
;
Myocardium
;
Pericardiectomy
;
Pericarditis, Constrictive*
;
Pericarditis, Tuberculous
;
Pericardium
;
Shoulder Pain
6.Huge Intraabdominal and Thoracic Desmoid Tumor: Surgical experience in one case.
Kyung Hwa KIM ; Yeon Ho SEO ; Ja Hong KUH ; Min Ho KIM
The Korean Journal of Thoracic and Cardiovascular Surgery 2003;36(8):623-626
Desmoid tumors are benign neoplasms with high rates of recurrence. A case of huge desmoid tumor of the intrathoracic and intraabdominal space is presented. The patient was treated with resection, which involved hepatic left lobectomy and diaphragmatic resection and partial pericardiectomy and wedge resection of left lower lobe of lung. The resulting defect over the pericarium and diaphragm was reconstructed by bovine pericardium and Marlex mesh. Prevention of presumed local recurrence of desmoid tumors requires wide excision margin.
Diaphragm
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Fibromatosis, Aggressive*
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Humans
;
Lung
;
Pericardiectomy
;
Pericardium
;
Polypropylenes
;
Recurrence
;
Thoracic Neoplasms
7.Pericardiectomy for Constrictive Pericarditis Using the Harmonic Scalpel: A case report.
Gi Bok LEE ; Hyun Keun CHEE ; Eung Joong KIM ; Yoon Cheol SHIN ; Jeong Hwan SON ; Jong Woon PARK
The Korean Journal of Thoracic and Cardiovascular Surgery 2003;36(8):610-613
A 68-year-old man with constrictive pericarditis underwent pericardiectomy. The pericardium was dissected with a Harmonic Scalpel (Ethicon Endo-Surgery, Cincinnati, OH). The harmonic scalpel differs from electrocautery in that there is only a minimal transfer of energy and no transfer of electrical energy to the tissues. A significant decrease in intraoperative and possibly even postoperative heart rhythm disorders is to be expected, as there is no conduction of electricity. This new device has many advantages including no muscular stimulation, low heat, a smokeless field and easy hemostasis. We exprienced a patient who underwent pericardiectomy using the Harmonic scalpel, so we report this case with a brief literature.
Aged
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Electricity
;
Electrocoagulation
;
Heart
;
Hemostasis
;
Hot Temperature
;
Humans
;
Lobeline
;
Pericardiectomy*
;
Pericarditis, Constrictive*
;
Pericardium
8.Transient Constrictive Pericarditis after Coronary Bypass Surgery.
Jae Bum KIM ; Nam Hee PARK ; Sae Young CHOI ; Hyungseop KIM
The Korean Journal of Thoracic and Cardiovascular Surgery 2011;44(1):64-67
Constrictive pericarditis is a rare complication after coronary artery bypass grafting In most cases pericardiectomy is required as a definitive treatment. However, there are several types of constrictive pericarditis such as transient cardiac constriction. Some types of constrictive pericarditis can only be managed with medical therapy. We report a 72-year-old female patient who developed subacute transient constrictive pericarditis with persistent left pleural effusion as a result of postcardiac injury syndrome. The patient went through coronary bypass surgery that was successfully treated with postoperative steroid therapy.
Aged
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Constriction
;
Coronary Artery Bypass
;
Female
;
Humans
;
Pericardiectomy
;
Pericarditis, Constrictive
;
Pericardium
;
Pleural Effusion
9.Surgical Experience of Pericardial Mesothelioma: 2 Cases.
Jung Hee BANG ; Jong Soo WOO ; Pill Jo CHOI ; Kwon Jae PARK ; Sang Seok JEONG ; Sook Hee HONG ; Mee Sook ROH
The Korean Journal of Thoracic and Cardiovascular Surgery 2010;43(4):437-440
Cardiac mesotheliomas are rare. It is difficult to diagnose them at an early stage because the symptoms are nonspecific. Here we report two cases that had been initially diagnosed as constrictive pericarditis but later were definitively diagnosed, after pericardiectomy, as mesothelioma. The two patients complained of dyspnea that lasted 4 months and 10 years. Chest CT showed mild pericardial effusion and thickened pericardium, which was found enveloping the heart without any lumps. Median sternotomy showed that the overall pericardium was thickened by more than 10 mm. Pericardiectomy (phrenic nerve to phrenic nerve) was performed and post-operative histology confirmed malignant mesothelioma. In one patient the disease recurred near the pericardium post-operatively at 7 months and the patient died at 11 months. The other patient received chemotherapy and was still alive at post-operative month 16. Pericardial mesothelioma is an extremely rare disease exhibiting clinical signs similar to those of constrictive pericarditis, and should be diagnosed at an early stage of onset.
Dyspnea
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Heart
;
Humans
;
Mesothelioma
;
Pericardial Effusion
;
Pericardiectomy
;
Pericarditis, Constrictive
;
Pericardium
;
Rare Diseases
;
Sternotomy
;
Thorax
10.The Role of Percutaneous Balloon Pericardial Window Formation for Malignant Pericardial Effusion.
Seok Min KANG ; Won Heum SHIM ; Dong Hoon CHOI ; Yang Soo CHANG
Korean Circulation Journal 1997;27(6):618-623
BACKGROUND: There are several ways to treat for recurrent pericardial effussion and cardiac tamponade due to malignancy. They are repeated pericardiocentesis, pericardial instillation of sclerosing and chemotherapeutic agents, surgical creation of a pericardial window and transthoracic pericardiectomy. Surgical techniques are usually effective but bear a significant morbidity and mortality especially in chronic debilitating cancer patients. So percutaneous balloon pericardial window as an alternative to surgery in these patients. METHODS: After pericardiocentesis was performed, a 0.035 inch J-tip guidewire was advanced into the pericardial space. And a pigtail catheter was advanced over the wire. A moderate amount of pericardial fluid were removed. A nd then the pigtail catheter was withdrawn and 8F sheath was inserted. A20mm diameter, 4cm long(Single balloon method) or two 10mm diameter, 4cm long balloon dilating catheter(Double balloon medium) was advanced over the wire to straddle the parietal pericardial border though the sheath. Several inflations of the balloon with a solution containing 50% radiographic contrast medium were performed until disappearance of the balloon waist. After balloon dilation, contrast medium from the pericardial space to subcutaneous tisse suggesting successful PBPWF. Single ballon method was employed in 4 patients and Dould balloon method in 2 patients. RESULT: We performed percutaneous balloon pericardial window formation in 6 patiemts with malignant pericardial effusion. We did percutaneous balloon pericardial window formation successfully in 5 patients and failed due to adhesion of parietal pericardium in 1 patient. One patient developed recurrent pericardial effusion with tamponade at a mean follow-up of 11.49.6 months(1.5-26 months). Conclusion: These results suggest that PBPWF is an alternative method less invasive than subxiphoid surgical windowing, espesially in critically ill patients with recurrent malignant pericardial effussion. It carries less risks and has more constant effect than repeated pericardiocentesis.
Cardiac Tamponade
;
Catheters
;
Critical Illness
;
Follow-Up Studies
;
Humans
;
Mortality
;
Pericardial Effusion*
;
Pericardiectomy
;
Pericardiocentesis
;
Pericardium
;
Rabeprazole