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J Thorac Cardiovasc Surg 2006;131:919-920
© 2006 The American Association for Thoracic Surgery

Brief Communication

Intrapericardial colonic herniation

Hon Chi Suen, MD a , * , Sundeep Das, MD b , Ronald L. Palmer, MD c , Cami L. Watkins, MD d , Ajit S. Nagra, MD e

a Department of Cardiothoracic Surgery, DePaul Health Center, St. Louis, Mo.
b Department of Cardiology, DePaul Health Center, St. Louis, Mo.
c Department of Radiology, DePaul Health Center, St. Louis, Mo.
d Department of Internal Medicine, DePaul Health Center, St. Louis, Mo.
e Department of Anesthesiology, DePaul Health Center, St. Louis, Mo.

Received for publication October 30, 2005; accepted for publication December 14, 2005.

* Address for reprints: Dr Suen, Cardiothoracic Surgery Associates, S.C., 12B Park Place, Swansea, IL 62226. (Email: HSUEN@earthlink.net).

The first 20% of the full text of this article appears below.


Figure 1
Dr H. C. Suen


Subxiphoid pericardial window is a well-established technique to drain and prevent the recurrence of pericardial effusion. We report an uncommon complication of intrapericardial herniation of colon through a subxiphoid pericardial window.

Clinical Summary

A 77-year-old woman with dyspnea was diagnosed with massive pericardial effusion. A subxiphoid pericardial window drained 600 mL of mildly blood-stained pericardial fluid. A pericardial window into the peritoneal cavity was performed by excising a 3-cm piece of intervening diaphragm. The initial postoperative course was uneventful. Pathologic examination showed an exudative fluid without evidence of infection or malignancy.

One month postoperatively, she complained of abdominal cramps. There was no nausea or vomiting, and she was still passing flatus . . . [Full Text of this Article]


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J. Thorac. Cardiovasc. Surg. 2006 131: 921-922. [Extract] [Full Text] [PDF]





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