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Ann Thorac Surg 1976;22:588-592
© 1976 The Society of Thoracic Surgeons

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Articles

Management of Uremic Pericarditis: A Report of 11 Patients with Cardiac Tamponade and a Review of the Literature

From the Division of Cardiovascular and Thoracic Surgery and the Renal and Electrolyte Division, Department of Medicine, McGill University, and the Department of Surgery, Royal Victoria Hospital, Montreal, Que, Canada

Accepted for publication February 9, 1976.

^* Address reprint requests to Dr. Morin, Department of Surgery, Royal Victoria Hospital, 687 Pine Ave W, Montreal, Que, Canada H3A 1A1

Uremic pericarditis remains a significant cause of morbidity and mortality in most hemodialysis programs. A review of the literature and our own experience show that uremic pericarditis should be vigorously treated when detected. Usually an increase in the dialysis program with regional heparinization is sufficient to control the pericarditis. When signs of pericardial effusion are manifested, patients often progress rapidly to cardiac tamponade. A surgical anterolateral pericardiectomy is the most satisfactory measure in controlling pericardial effusion and preventing fatal cardiac tamponade. Although these patients have severely impaired renal function, the operation can be performed safely with a low morbidity and mortality.

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				K. E. Alcan, P. M. Zabetakis, N. D. Marino, A. J. Franzone, M. F. Michelis, and M. S. Bruno Management of Acute Cardiac Tamponade by Subxiphoid Pericardiotomy JAMA, February 26, 1982; 247(8): 1143 - 1148. [Abstract] [PDF]