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Hiroshi Nishida
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Ann Thorac Surg 1996;62:1196-1197
© 1996 The Society of Thoracic Surgeons

Case Report

Transdiaphragmatic Drainage of Pericardial Effusion With Severe Pericardial Adhesions

Akihiko Ohkado, MD, Motoki Sato, MD, Yasuko Tomizawa, MD, PhD, Hiroshi Nishida, MD, Masahiro Endo, MD, Hitoshi Koyanagi, MD

Department of Cardiovascular Surgery, Heart Institute of Japan, Tokyo Women's Medical College, Tokyo, Japan

Accepted for publication April 18, 1996.

We describe a method to perform successful drainage of pericardial effusion by incising the diaphragm via the peritoneal cavity assisted by transesophageal echocardiography. This transdiaphragmatic approach is a remarkably simple and useful method for pericardial drainage when the conventional transsubxiphoid approach is difficult and dangerous because of intractable adhesions between the heart and the pericardium.






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Copyright © 1996 by The Society of Thoracic Surgeons.