Clinical experience with subxiphoid drainage of pericardial effusions

G. M. Palatianos, Richard J Thurer, M. Q. Pompeo, G. A. Kaiser

Research output: Contribution to journalArticle

37 Citations (Scopus)

Abstract

To assess the effectiveness of subxiphoid pericardial tube drainage for treatment of pericardial effusion, we reviewed 41 consecutive patients who underwent this procedure during a 14-year period. The patients ranged in age from 7 months to 75 years. All were symptomatic preoperatively. The diagnosis of pericardial effusion was confirmed by echocardiogram in all but 2 patients. Eight patients had acute pericardial tamponade. Subxiphoid pericardial drainage was performed under general (n = 35) or local anesthesia (n = 6). A portion of the anterior pericardium was excised in each patient. There were no perioperative deaths. Thirty-day mortality was 19.5%; there were five late deaths. All deaths were unrelated to pericardial effusion or to the operation. One patient had recurrent effusion requiring pericardiocentesis on the 21st postoperative day. He died five days later of extensive lymphoma. Twenty-eight patients were followed from 1 month to 10 years; mean follow-up was 31.5 months. None developed recurrent effusion or pericardial constriction. We conclude that subxiphoid pericardial drainage is effective for treatment of pericardial effusion.

Original languageEnglish
Pages (from-to)381-385
Number of pages5
JournalAnnals of Thoracic Surgery
Volume48
Issue number3
StatePublished - Jan 1 1989

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Pericardial Effusion
Drainage
Pericardiocentesis
Cardiac Tamponade
Pericardium
Local Anesthesia
Constriction
Lymphoma
Mortality
Therapeutics

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery

Cite this

Palatianos, G. M., Thurer, R. J., Pompeo, M. Q., & Kaiser, G. A. (1989). Clinical experience with subxiphoid drainage of pericardial effusions. Annals of Thoracic Surgery, 48(3), 381-385.

Clinical experience with subxiphoid drainage of pericardial effusions. / Palatianos, G. M.; Thurer, Richard J; Pompeo, M. Q.; Kaiser, G. A.

In: Annals of Thoracic Surgery, Vol. 48, No. 3, 01.01.1989, p. 381-385.

Research output: Contribution to journalArticle

Palatianos, GM, Thurer, RJ, Pompeo, MQ & Kaiser, GA 1989, 'Clinical experience with subxiphoid drainage of pericardial effusions', Annals of Thoracic Surgery, vol. 48, no. 3, pp. 381-385.
Palatianos GM, Thurer RJ, Pompeo MQ, Kaiser GA. Clinical experience with subxiphoid drainage of pericardial effusions. Annals of Thoracic Surgery. 1989 Jan 1;48(3):381-385.
Palatianos, G. M. ; Thurer, Richard J ; Pompeo, M. Q. ; Kaiser, G. A. / Clinical experience with subxiphoid drainage of pericardial effusions. In: Annals of Thoracic Surgery. 1989 ; Vol. 48, No. 3. pp. 381-385.
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