A successful transdiaphragmatic shunting for a late and recurrent pericardial effusion following coronary bypass.
Although pericardial effusion (PE) is common after cardiac surgery, late and recurrent cardiac tamponade that occurs more than 5-7 days after coronary artery bypass grafting is an infrequent complication. Moreover, the treatment of PE resistant to medical therapy, percutaneous drainage and pleuro-pericardial window remains a therapeutic challenge. We report the case of a recalcitrant PE with high-daily volume outflow drainage, finally treated with success, with a transdiaphragmatic pleuro-peritoneal shunting by laparoscopic approach.
Department of Cardio-Thoracic Surgery, CHU Marie Curie, Charleroi, Belgium.
Nicolas
N
Themelin
Department of Cardio-Thoracic Surgery, CHU Marie Curie, Charleroi, Belgium.
Serge
S
Cappeliez
Department of Digestive Surgery, CHU Marie Curie, Charleroi, Belgium.
Jean-Jacques
JJ
Houben
Department of Cardio-Thoracic Surgery, CHU Marie Curie, Charleroi, Belgium.
Badih
B
El Nakadi
D001026:Coronary Artery Bypass / Q000009:adverse effects*; D003324:Coronary Artery Disease / Q000601:surgery; D003964:Diaphragm; D004322:Drainage / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010490:Pericardial Effusion / Q000175:diagnosis / Q000209:etiology*; D010491:Pericardial Window Techniques; D011183:Postoperative Complications; D012008:Recurrence; D020775:Thoracic Surgery, Video-Assisted / Q000379:methods*; D013997:Time Factors; D014057:Tomography, X-Ray Computed
Cardiac surgery; Recurrent pericardial effusion; Transdiaphragmatic shunting