Chest ACCP Education Calendar
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

Guest Access | Sign In via User Name/Password
This Article
Right arrow Full Text (PDF) Free
Right arrow Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Article Archive
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Little, A.
Right arrow Articles by Ferguson, M.
Right arrow Search for Related Content
PubMed
Right arrow Articles by Little, A.
Right arrow Articles by Ferguson, M.

Chest, Vol 89, 53-55, Copyright © 1986 by American College of Chest Physicians

ARTICLES

Pericardioscopy as adjunct to pericardial window

AG Little and MK Ferguson

A technique for pericardioscopy at the time of subxiphoid pericardial window was evaluated in 17 patients undergoing surgery for clinically suspected malignant pericardial effusion. Best results were obtained using a rigid mediastinoscope for inspection of the posterior and lateral pericardial surfaces. No complications ensued, although many patients experienced cardiac arrythmias which always resolved with removal of the scope. Pericardioscopy revealed cancer transgressing the pericardium near the pulmonary veins in one patient, and this would have been missed without pericardioscopy. Pericardioscopy confirmed palpable metastatic deposits on the inferior pericardial surface in two other patients. In 14 patients, pericardioscopy did not reveal malignancy, although four of these patients had both positive fluid cytologic findings and malignant infiltration of the pericardial biopsy. In one patient a palpable but not visible nodule was proved to be an extrinsic hepatic metastasis. Pericardioscopy is a safe intervention chiefly applicable in patients with central tumors and pericardial effusion in whom subxiphoid pericardial window is not clearly diagnostic at the time of surgery.


This article has been cited by other articles:


Home page
 Ann. Thorac. Surg.Home page
J. Loscertales, R. Jimenez-Merchan, M. Congregado-Loscertales, C. Arenas-Linares, J. C. Giron-Arjona, A. A. Tristan, and J. Ayarra
Usefulness of videothoracoscopic intrapericardial examination of pulmonary vessels to identify resectable clinical T4 lung cancer
Ann. Thorac. Surg., May 1, 2002; 73(5): 1563 - 1566.
[Abstract] [Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
H. L. Porte, T. J. Janecki-Delebecq, L. Finzi, D. G. Metois, A. Millaire, and A. J. Wurtz
Pericardoscopy for primary management of pericardial effusion in cancer patients
Eur. J. Cardiothorac. Surg., September 1, 1999; 16(3): 287 - 291.
[Abstract] [Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
O. Reuthebuch, M. Roth, W. Skwara, W.-P. Klovekorn, and E. P. Bauer
Cardioscopy: potential applications and benefit in cardiac surgery
Eur. J. Cardiothorac. Surg., June 1, 1999; 15(6): 824 - 829.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
E. P. Bauer, O. T. Reuthebuch, M. Roth, W. Skwara, and W.-P. Klovekorn
Video-Assisted Resection of Hypertrophied and Fibrous Intraventricular Tissue
Ann. Thorac. Surg., April 1, 1997; 63(4): 1180 - 1182.
[Abstract] [Full Text]

Home page
 CirculationHome page
O. Nugue, A. Millaire, H. Porte, P. de Groote, P. Guimier, A. Wurtz, and G. Ducloux
Pericardioscopy in the Etiologic Diagnosis of Pericardial Effusion in 141 Consecutive Patients
Circulation, October 1, 1996; 94(7): 1635 - 1641.
[Abstract] [Full Text]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 1986 by the American College of Chest Physicians.