title: [Management of malignant pericardial effusion with parasternal fenestration].
abstract: Numerous methods exist for the treatment of pericardial effusions. These methods, however, can be applied with limitations only for long-term eradication of malignant pericardial effusion. Lately, several new methods, including minimally invasive procedures, have been published, and the VATS technique has become fairly popular. This technique needs special instruments and single lung ventilation, which is relatively risky in case of contralateral malignancy. We apply a new and simple minimally invasive fenestration method using the well-known approach of the parasternal mediastinoscopy by Stemmer. No recurrence of pericardial effusions was noted in long-term follow-up. In the past 10 years 73 patients were treated for pericardial effusion in our department and 22 pericardium fenestrations have been performed with parasternal approach. This method is recommended for the definitive treatment of pericardial effusion with malignant origin.
authors.affiliation: Miskolci Semmelweis Ignác Egészségügyi Központ és Egyetemi Oktató Kórház Nonprofit Kft. Általános Sebészeti és Mellkassebészeti Osztály 3532 Miskolc Pál u. 8. b.medorim@upcmail.hu
authors.forename: Imre
authors.initials: I
authors.lastname: Tóth
authors.forename: János
authors.initials: J
authors.lastname: Hanyik
authors.forename: Sándor
authors.initials: S
authors.lastname: Almássy
authors.forename: Károly
authors.initials: K
authors.lastname: Gyáni
authors.forename: Péter
authors.initials: P
authors.lastname: Mezei
authors.forename: Géza
authors.initials: G
authors.lastname: Szucs
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002305:Cardiac Tamponade / Q000175:diagnosis* / Q000209:etiology; D003964:Diaphragm; D004322:Drainage; D005260:Female; D017052:Hospital Mortality; D006801:Humans; D008297:Male; D008479:Mediastinal Neoplasms / Q000150:complications*; D008875:Middle Aged; D010490:Pericardial Effusion / Q000150:complications / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery*; D010491:Pericardial Window Techniques; D013249:Sternum; D020775:Thoracic Surgery, Video-Assisted; D013908:Thoracotomy; D016896:Treatment Outcome