The Japanese Journal of Thoracic Surgery Volume 71, Issue 13 (December 2018)

Video-assisted Thoracoscopic Pericardial Fenestration for Pericardial Effusion in a Patient with Crow-Fukase Syndrome Takayuki Nishimoto 1 , Yukihiro Bonkohara 1 , Hironori Murakami 1 , Daisuke Noma 1 1Department of Cardiovascular Surgery, National Hospital Organization Yokohama Medical Center Keyword: Crow-Fukase syndrome , polyneuropathy, organomegaly, endocrinopathy, M protein, skin changes (POEMS) syndrome , video-assisted thoracoscopic surgery (VATS) , pericardial effusion , pericardial fenestration pp.1092-1095
Published Date 2018/12/1
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A 65-year-old woman was referred to our department with recurrent pericardial effusion. Her serum vascular endothelial growth factor was high, serum M-protein was positive, and nerve conduction velo-city of extremities was decreased. Therefore, she was diagnosed with Crow-Fukase (polyneuropathy, organomegaly, endocrinopathy, M protein, skin changes:POEMS) syndrome, which is characterized by the presence of plasma cell dyscrasia with them. We performed video-thoracoscopic pericardial fenestration with 4×4 cm window. The postoperative course was uneventful, and the pericardial effusion completely disappeared. Video-assisted thoracoscopic pericardial fenestration was a safe and effective treatment for recurrent pericardial effusion.

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71巻13号 (2018年12月)
電子版ISSN 2432-9436 印刷版ISSN 0021-5252 南江堂