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A pericardial window is a cardiac surgical procedure to create a fistula - or "window" - from the pericardial space to the pleural cavity.^[1] The purpose of the window is to allow a pericardial effusion (usually malignant) to drain from the space surrounding the heart into the chest cavity - where the fluid is not as dangerous; an untreated pericardial effusion can lead to cardiac tamponade and death.

The window is usually performed by a cardiac surgeon who makes an incision, commonly sub-xiphoid, and cuts a small hole in the pericardium which is the membrane that surrounds the heart.

References

^ Stuart J. Hutchison (10 December 2008). Pericardial diseases: clinical diagnostic imaging atlas. Elsevier Health Sciences. pp. 93–. ISBN 978-1-4160-5274-6. Retrieved 10 November 2010.

External links

Cardiac Surgery in the Adult: Pericardial disease

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UpToDate Contents

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1. 心嚢液貯留の診断および治療 diagnosis and treatment of pericardial effusion
2. 心臓手術後の胸水 pleural effusions following cardiac surgery
3. 心臓傷害後症候群 post cardiac injury syndromes
4. 悪性腫瘍関連心膜疾患 pericardial disease associated with malignancy
5. 急性心膜炎の治療 treatment of acute pericarditis

English Journal

Indications of anti-inflammatory drugs in cardiac diseases.

Algalarrondo V, Boycott H, Eliahou L, Mabille M, Slama MS.SourceCardiology Department, CHU A. Beclere, 157 av de la Porte de Trivaux, 92140 Clamart, France. vincent.algalarrondo@u-psud.fr.
Anti-inflammatory & anti-allergy agents in medicinal chemistry.Antiinflamm Antiallergy Agents Med Chem.2013 Mar 1;12(1):3-13.
Throughout the history of cardiology, physicians have attempted to treat cardiac inflammatory diseases in a multitude of different ways. In recent years, three major developments have confirmed the important role of antiinflammatory drugs in cardiology: the development of new, more powerful drugs, t
PMID 23286286

Prevention of recurrent pericarditis with colchicine in 2012.

Markel G, Imazio M, Brucato A, Adler Y.SourceElla Institute of Melanoma, Sheba Medical Center, Tel Hashomer, Israel; Talpiot Medical Leadership Program, Sheba Medical Center, Tel Hashomer, Israel; Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Clinical cardiology.Clin Cardiol.2013 Mar;36(3):125-8. doi: 10.1002/clc.22098. Epub 2013 Feb 12.
The most troublesome complication of acute pericarditis is recurrent pericardial inflammation, which occurs in 15%-32% of cases. The optimal method for prevention has not been fully established; accepted modalities include nonsteroidal anti-inflammatory drugs, corticosteroids, immunosuppressive agen
PMID 23404655

Primary angiosarcoma of the aorta, great vessels, and the heart.

Fatima J, Duncan AA, Maleszewski JJ, Kalra M, Oderich GS, Gloviczki P, Suri RM, Bower TC.SourceDivision of Vascular and Endovascular Surgery, Mayo Clinic, Rochester, Minn.
Journal of vascular surgery.J Vasc Surg.2013 Mar;57(3):756-64. doi: 10.1016/j.jvs.2012.09.023. Epub 2013 Jan 9.
OBJECTIVE: Primary angiosarcomas originating from the heart, aorta, or great vessels are extremely rare and hence poorly understood. We reviewed our experience to identify a preferred diagnostic and treatment strategy and evaluate the role of adjunctive therapy.METHODS: We reviewed the clinical data
PMID 23312835

Japanese Journal

Successful conservative management of coronary artery rupture : role of post pericardiotomy adhesions as a protective barrier

Goel Pravin Kumar,Moorthy Nagaraja
Cardiovascular intervention and therapeutics 28(1), 131-134, 2013-01
NAID 40019580246

Off-Pump Multilayered Sutureless Repair for a Left Ventricular Blowout Rupture Caused by Myocardial Infarction in the Second Diagonal Branch Territory

Isoda Susumu,Kimura Tamizo,Osako Motohiko,Nishimura Kenji,Yamanaka Nozomu,Nakamura Singo,Maehara Tadaaki
Annals of Thoracic and Cardiovascular Surgery, 2013
… Pericardiotomy revealed a postinfarction blowout rupture of an aneurysm (2 × 3 × 1 cm) on the anterolateral wall of the LV. …
NAID 130003377910

心穿刺・心切開 (特集研修医のためのER診療マニュアル(2)基本手技・検査編) -- (胸部)

浅岡峰雄
救急医学 36(4), 416-418, 2012-04
NAID 40019292915

Related Pictures

The Pericardium right) Post- pericardiectomy . Picture of the heart in the pericardial Pericardiectomy : Left Services on Demand Performing a pericardiectomy .