Key result
Laparoscopic transdiaphragmatic pleuro-peritoneal shunting resolves recalcitrant pericardial effusion post-CABG.
Why the study?
Late and recurrent cardiac tamponade occurring more than 5-7 days after coronary artery bypass grafting is an infrequent complication and treatment-resistant pericardial effusion remains a therapeutic challenge.
Case Report (n=1)
Transdiaphragmatic pleuro-peritoneal shunting by laparoscopic approach may serve as an effective treatment for recalcitrant pericardial effusion following coronary artery bypass grafting.
Answers are grounded in this paper and cite their sources.
May warrant consideration in refractory post-CABG effusion; hypothesis-generating and should not yet change practice.
Although pericardial effusion (PE) is common after cardiac surgery, late and recurrent cardiac tamponade that occurs more than 5-7 days after coronary artery bypass grafting is an infrequent complication. Moreover, the treatment of PE resistant to medical therapy, percutaneous drainage and pleuro-pericardial window remains a therapeutic challenge. We report the case of a recalcitrant PE with high-daily volume outflow drainage, finally treated with success, with a transdiaphragmatic pleuro-peritoneal shunting by laparoscopic approach.
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Themelin et al. (2017) conducted a case report in Recalcitrant pericardial effusion following coronary artery bypass grafting (n=1). Transdiaphragmatic pleuro-peritoneal shunting by laparoscopic approach was evaluated on Successful treatment of pericardial effusion. Transdiaphragmatic pleuro-peritoneal shunting by laparoscopic approach successfully treated a recalcitrant pericardial effusion following coronary artery bypass grafting.
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