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Ann Thorac Surg 1978;26:84-85
© 1978 The Society of Thoracic Surgeons
Department of Surgery, University of Minnesota Hospitals of the University of Minnesota Health Sciences Center, Minneapolis, MN
Accepted for publication November 2, 1977.
* Address reprint requests to Dr. Nicoloff, Box 280, University Hospitals, 420 Delaware Ave SE, Minneapolis, MN 55455
A method for resolving the life-threatening complication of neonatal pneumopericardium is described. In patients suspected of having this complication, needle aspiration of the pericardial sac should be performed to confirm the diagnosis. Then a tube should be inserted directly into the sac, attached to continuoussuction drainage, and allowed to remain in place until positive end-expiratory pressure is discontinued. The technique has not been associated with morbidity, mortality, or recurrence of pneumopericardium.
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