Percutaneous pericardio-peritoneal shunt (PPP)--a novel palliative treatment for recurrent cardiac tamponade.
The management of pericardial effusion with recurrent cardiac tamponade in disseminated malignancy is a therapeutic challenge. Treatment options include repeated aspirations, balloon pericardiostomy and surgical pericardial window with variable success at symptom palliation. We describe a safe and novel percutaneous technique of pericardio-peritoneal shunt for palliative treatment of malignancy associated massive pericardial effusion ina patient who declined surgery and had refractory pericardial effusion despite repeated pericardiocentesis, chemical pericardiodesis and balloon pericardiostom
Chandy
Sunil
S
Dept. of Cardiology, Christian Medical College and Hospital, Vellore-632004, (TN), India. schandy@cmcvellore.ac.in
Thomson
Viji S
VS
Chandy
Tony Thomson
TT
Sasikumar
JosephU
Philip
P
D000368:Aged; D001943:Breast Neoplasms / Q000150:complications; D044584:Carcinoma, Ductal; D002305:Cardiac Tamponade / Q000209:etiology / Q000601:surgery*; D005260:Female; D006801:Humans; D010166:Palliative Care; D010490:Pericardial Effusion / Q000209:etiology / Q000601:surgery*; D010496:Pericardium / Q000601:surgery*; D010537:Peritoneum / Q000601:surgery*; D012008:Recurrence