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Management of neoplastic pericarditis – overview of 156 patients

Elena Jianu

Elena Jianu

Clinic of Thoracic Surgery, Institute of Oncology ‘Prof. Dr. Al. Trestioreanu’Bucharest, Romania
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Jianu, Elena
, 
Natalia Motas

Natalia Motas

  • Clinic of Thoracic Surgery, Institute of Oncology ‘Prof. Dr. Al. Trestioreanu’Bucharest, Romania
  • University of Medicine and Pharmacy ‘Carol Davila’Bucharest, Romania
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Motas, Natalia
, 
Mihnea Davidescu

Mihnea Davidescu

  • Clinic of Thoracic Surgery, Institute of Oncology ‘Prof. Dr. Al. Trestioreanu’Bucharest, Romania
  • University of Medicine and Pharmacy ‘Carol Davila’Bucharest, Romania
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Davidescu, Mihnea
, 
Ovidiu Rus

Ovidiu Rus

Clinic of Thoracic Surgery, Institute of Oncology ‘Prof. Dr. Al. Trestioreanu’Bucharest, Romania
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Rus, Ovidiu
, 
Corina Bluoss

Corina Bluoss

Clinic of Thoracic Surgery, Institute of Oncology ‘Prof. Dr. Al. Trestioreanu’Bucharest, Romania
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Bluoss, Corina
, 
Veronica Manolache

Veronica Manolache

Clinic of Thoracic Surgery, Institute of Oncology ‘Prof. Dr. Al. Trestioreanu’Bucharest, Romania
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Manolache, Veronica
, 
Madalina Iliescu

Madalina Iliescu

Clinic of Thoracic Surgery, Institute of Oncology ‘Prof. Dr. Al. Trestioreanu’Bucharest, Romania
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Iliescu, Madalina
 y 
Teodor Horvat

Teodor Horvat

  • Clinic of Thoracic Surgery, Institute of Oncology ‘Prof. Dr. Al. Trestioreanu’Bucharest, Romania
  • University of Medicine and Pharmacy ‘Carol Davila’Bucharest, Romania
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Horvat, Teodor
  
31 dic 2020
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Categoría del artículo: Original Papers
Publicado en línea: 31 dic 2020
Páginas: 97 - 102
DOI: https://doi.org/10.2478/pneum-2020-0020
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© 2020 Elena Jianu et al., published by Sciendo
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Figure 1

Echocardiography showing the presence of massive pericardial fluid. The thickness of pericardial fluid at the apex is 4.6 cm (upper left corner).
Echocardiography showing the presence of massive pericardial fluid. The thickness of pericardial fluid at the apex is 4.6 cm (upper left corner).

Figure 2

Computed tomography scan shows the circumferential pericardial fluid without pericardial adhesions, significant left pleurisy with lung collapse and medium right pleurisy.
Computed tomography scan shows the circumferential pericardial fluid without pericardial adhesions, significant left pleurisy with lung collapse and medium right pleurisy.

Figure 3

Distribution of the 156 patients according to the primary neoplasia.
Distribution of the 156 patients according to the primary neoplasia.

Figure 4

Distribution of patients with malignant pericardial effusion according to smoking status.
Distribution of patients with malignant pericardial effusion according to smoking status.

Figure 5

Types of surgical interventions performed in the 76 cases with indication for pericardial drainage. VATS = video-assisted thoracic surgery.
Types of surgical interventions performed in the 76 cases with indication for pericardial drainage. VATS = video-assisted thoracic surgery.

Figure 6

Pericardial fenestration by uniportal video-assisted thoracic surgery: (1) tensioned pericardium is incised with thoracoscopic cautery and haemorrhagic pericardial fluid is evacuated slowly and (2) after evacuation, the pericardium (thicker than usual) is fenestrated, the heart is directly visible and the pericardial fragment is sent to pathology.
Pericardial fenestration by uniportal video-assisted thoracic surgery: (1) tensioned pericardium is incised with thoracoscopic cautery and haemorrhagic pericardial fluid is evacuated slowly and (2) after evacuation, the pericardium (thicker than usual) is fenestrated, the heart is directly visible and the pericardial fragment is sent to pathology.

Figure 7

Kaplan–Meier survival curves for operated and conservatively treated patients. No statistically significant differences were observed between the survival rates of patients who underwent surgery and those treated conservatively (p = 0.07).
Kaplan–Meier survival curves for operated and conservatively treated patients. No statistically significant differences were observed between the survival rates of patients who underwent surgery and those treated conservatively (p = 0.07).

Figure 8

Kaplan–Meier survival curves for patients with and without cardiac tamponade who received pericardial drainage.
Kaplan–Meier survival curves for patients with and without cardiac tamponade who received pericardial drainage.
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Temas de la revista:
Medicina, Medicina Clínica, Medicina Clínica, otros, Medicina Interna, Neumología
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