RESUMEN
Abstract Objective: In this retrospective study, we aimed to observe the efficacy of pericardial effusion (PE) treatments by a survey conducted at the Department of Cardiovascular Surgery, Faculty of Medicine, Atatürk University. Methods: In order to get comparable results, the patients with PE were divided into three groups - group A, 480 patients who underwent subxiphoid pericardiostomy; group B, 28 patients who underwent computerized tomography (CT)-guided percutaneous catheter drainage; and group C, 45 patients who underwent echocardiography (ECHO)-guided percutaneous catheter drainage. Results: In the three groups of patients, the most important symptom and physical sign were dyspnea and tachycardia, respectively. The most common causes of PE were uremic pericarditis in patients who underwent tube pericardiostomy, postoperative PE in patients who underwent CT-guided percutaneous catheter drainage, and cancer-related PE in patients who underwent ECHO-guided percutaneous catheter drainage. In all the patients, relief of symptoms was achieved after surgical intervention. There was no treatment-related mortality in any group of patients. In patients with tuberculous pericarditis, the rates of recurrent PE and/or constrictive pericarditis progress were 2,9% and 2,2% after tube pericardiostomy and ECHO-guided percutaneous catheter drainage, respectively. Conclusion: Currently, there are many methods to treat PE. The correct treatment method for each patient should be selected according to a very careful analysis of the patient's clinical condition as well as the prospective benefit of surgical intervention.
Asunto(s)
Humanos , Masculino , Femenino , Lactante , Preescolar , Niño , Adolescente , Adulto , Persona de Mediana Edad , Anciano , Anciano de 80 o más Años , Adulto Joven , Derrame Pericárdico/cirugía , Ecocardiografía/métodos , Cateterismo Cardíaco/métodos , Tomografía Computarizada por Rayos X/métodos , Drenaje/métodos , Técnicas de Ventana Pericárdica/instrumentación , Derrame Pericárdico/etiología , Pericarditis/complicaciones , Ecocardiografía/instrumentación , Cateterismo Cardíaco/instrumentación , Drenaje/instrumentación , Reproducibilidad de los Resultados , Análisis de Varianza , Resultado del Tratamiento , Tiempo de InternaciónRESUMEN
Se revisa la experiencia de los autores en la realización de ventanas pericárdicas para el diagnóstico de lesión cardiaca en traumatismos penetrantes y contusos de tórax. Catorce pacientes fueron sometidos al procedimiento con un promedio de edad de 31.9 años. El 35 por ciento de los procedimentos (5) fue positivo. No hubo falsas positivas ni falsas negativas. La ventana pericárdica es útil en aquellos pacientes que se presentan con traumatismos a la zona precordial y cuyos signos y síntomas hacen difícil el diagnóstico de lesión cardiaca. El procedimiento es sencillo y de baja morbimortalidad.