title: Percutaneous pericardio-peritoneal shunt (PPP)--a novel palliative treatment for recurrent cardiac tamponade.
abstract: 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
authors.affiliation: Dept. of Cardiology, Christian Medical College and Hospital, Vellore-632004, (TN), India. schandy@cmcvellore.ac.in
authors.forename: Sunil
authors.initials: S
authors.lastname: Chandy
authors.forename: Viji S
authors.initials: VS
authors.lastname: Thomson
authors.forename: Tony Thomson
authors.initials: TT
authors.lastname: Chandy
authors.lastname: Sasikumar
authors.forename: Philip
authors.initials: P
authors.lastname: JosephU
mesh_terms: 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