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Pneumologia
Volume 69 (2020): Numero 2 (December 2020)
Accesso libero
Management of neoplastic pericarditis – overview of 156 patients
Elena Jianu
Elena Jianu
,
Natalia Motas
Natalia Motas
,
Mihnea Davidescu
Mihnea Davidescu
,
Ovidiu Rus
Ovidiu Rus
,
Corina Bluoss
Corina Bluoss
,
Veronica Manolache
Veronica Manolache
,
Madalina Iliescu
Madalina Iliescu
e
Teodor Horvat
Teodor Horvat
| 31 dic 2020
Pneumologia
Volume 69 (2020): Numero 2 (December 2020)
INFORMAZIONI SU QUESTO ARTICOLO
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CONDIVIDI
Article Category:
Original Papers
Pubblicato online:
31 dic 2020
Pagine:
97 - 102
DOI:
https://doi.org/10.2478/pneum-2020-0020
Parole chiave
neoplastic pericardial effusion
,
cardiac tamponade
,
surgical pericardial drainage
,
video-assisted thoracic surgery (VATS)
,
pericardial fenestration
,
subxiphoidian pericardial drainage
,
paraxiphoidian pericardial drainage
© 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).
Figure 2
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.
Figure 4
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.
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.
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).
Figure 8
Kaplan–Meier survival curves for patients with and without cardiac tamponade who received pericardial drainage.