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J Thorac Cardiovasc Surg 2006;131:921-922
© 2006 The American Association for Thoracic Surgery
Brief Communication |
a Division of Thoracic Surgery, National Cancer Institute, Pascale Foundation, Naples, Italy
b The Price Thomas Thoracic Unit, Northern General Hospital, Sheffield Teaching Hospitals, Sheffield, United Kingdom.
Received for publication November 3, 2005; revisions received November 30, 2005; accepted for publication December 9, 2005. * Address for reprints: Gaetano Rocco, MD, FRCS (Ed), FECTS, Division of Thoracic Surgery, National Cancer Institute, Pascale Foundation, Via M Semmola, 81 80131, Naples, Italy. (Email: Gaetano.Rocco@btopenworld.com).
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Pericardial effusions often complicate the course of end-stage malignant conditions.
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When frequent pericardiocentheses are required, a pericardial window is indicated to permanently relieve tamponade symptoms. In patients with acceptable performance status, such a procedure has been performed either through an open or a video-assisted thoracoscopic surgery (VATS) approach with excellent results.
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Between January 2002 and September 2005, 4 patients (2 women and 2 men; median age 46 years) with malignant pleuropericardial effusions (2 from breast cancer and 2 from lymphoma) had uniportal VATS pericardial window. In 1 patient with lymphoma, the
Related Article
J. Thorac. Cardiovasc. Surg. 2006 131: 919-920.
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