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Chest, Vol 100, 985-987, Copyright © 1991 by American College of Chest Physicians

ARTICLES

Etiology, treatment, and prognosis of large pericardial effusions. A study of 34 patients

Y Ilan, R Oren and E Ben-Chetrit
Department of Medicine A, Hadassah University Hospital, Jerusalem, Israel.

During the last 20 years, only a few studies have been published concerning large pericardial effusion. We recently reviewed 34 patients who presented with large pericardial effusion not associated with trauma. Our analysis revealed that half of the patients (52 percent) had pericardial effusion of unknown origin. Four patients had postmyocardial infarction pericardial effusion, three had associated malignant neoplasms, three suffered from collagen diseases, and two had infectious agents. Uremia and irradiation accounted for a single case each. Twenty-seven (79 percent) of the patients underwent pericardiocentesis and two (5.8 percent) had a pericardial window operation. The overall prognosis of the patients was excellent.




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Copyright © 1991 by the American College of Chest Physicians.