Ingenuity of thoracoscopic pericardial fenestration for pericardial effusion Hitoshi NISHIKAWA 1 , Doufu HAYASHI 1 , Atene ITO 1 , Susumu SHINOURA 1 , Kaori SHIGEMITSU 1 , Yasuyuki NONAKA 1 1Department of Surgery, Tsuyama Chuo Hospital Keyword: 胸腔鏡下心膜開窓術 , 心タンポナーデ , ベッセルシーリングデバイス pp.337-340
Published Date 2021/7/15
DOI https://doi.org/10.11477/mf.4426200925
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 We intend to outline the techniques that we employ to achieve more effective pericardial drainage during thoracoscopic pericardial fenestration. We performed a 3-port thoracoscopic approach and created holes at two locations, the dorsal side of the phrenic nerve and the bottom of the pericardium, so that pericardial fluid could be efficiently drained. A vessel sealing device is then used to prevent bleeding and closure of the fenestration due to granulation. This technique was performed on two patients with cardiac tamponade, and no complications in the early postoperative period nor long-term re-accumulation of pericardial fluid were observed. We believe that it is important to accumulate more cases of thoracoscopic cardiovascular fenestration and to make creative efforts to evaluate and improve short-term and long-term results.

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