The Journal of Thoracic and Cardiovascular Surgery, Vol 93, 715-718, Copyright © 1987 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
Catheter drainage of symptomatic postoperative mediastinal effusion guided by computed tomography. A nonoperative approach
JA Rousou, R Kirkwood, RM Engelman and RH Breyer
Postoperative mediastinal effusion after cardiac operations is a common
phenomenon and has a potential for serious complications, such as tamponade
necessitating urgent drainage. Computed tomography of the chest provides
excellent postoperative visualization of the mediastinum. Catheter
insertion or paracentesis guided by computed tomography has been used to
accomplish nonoperative drainage of symptomatic postoperative mediastinal
effusion in six cases. This technique offers simplicity, safety, and cost
effectiveness.