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Ann Thorac Surg 1977;23:467-470
© 1977 The Society of Thoracic Surgeons

Articles

The Subxiphoid Approach in the Treatment of Pericardial Effusion

Gil H. Santos, M.D.*, R.W.M. Frater, M.D.

Department of Surgery, Albert Einstein College of Medicine, New York, NY.

Accepted for publication September 21, 1976.

* Address reprint requests to Dr. Santos, Department of Surgery, Albert Einstein College of Medicine, New York, NY 10461.

Subxiphoid pericardiotomy for diagnosis and treatment of pericardial effusion is a safe procedure. Not only does it appear to be safer than aspiration, but it yields more information because of its ability to obtain pericardial tissue. The recurrence rate of pericardial effusion is lower using subxiphoid pericardiotomy. For these reasons it is the technique of choice for diagnosis and treatment of nontraumatic pericardial effusion.




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