title: Transperitoneal approach for pericardial drainage.
abstract: A variety of surgical approaches for pericardial drainage have been proposed. The choice of the best approach can be, therefore, oriented depending on the cause of the pericardial effusion. Recently a different approach, for neoplastic or post-traumatic pericardial effusion, has been proposed, in order to create a peritoneal-pericardial window avoiding the insertion of a tube. We report a case of late postoperative cardiac tamponade in a patient with a previous coronary surgery in which, due to extensive adhesion of the anterior wall a modified transperitoneal approach to the pericardium, was used.
authors.affiliation: 2nd Division of Cardiac Surgery, Civic Hospital, Brescia, Italy. pasqtotaro@hotmail.com
authors.forename: P
authors.initials: P
authors.lastname: Totaro
authors.forename: R
authors.initials: R
authors.lastname: Lorusso
authors.forename: C
authors.initials: C
authors.lastname: Ceconi
authors.forename: M
authors.initials: M
authors.lastname: Zogno
mesh_terms: D002305:Cardiac Tamponade / Q000150:complications; D017548:Echocardiography, Transesophageal; D006801:Humans; D008297:Male; D008875:Middle Aged; D010490:Pericardial Effusion / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D010491:Pericardial Window Techniques