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Efficacy of percutaneous balloon pericardiotomy and intrapericardial instillation for the management of refractory pericardial effusion: a case report


, : Efficacy of percutaneous balloon pericardiotomy and intrapericardial instillation for the management of refractory pericardial effusion: a case report. Journal of Cardiology 50(6): 389-395

Percutaneous balloon pericardiotomy and intrapericardial instillation seemed to be less invasive and effective treatments for refractory pericardial effusion. A 65-year-old man who suffered from refractory pericardial effusion associated with gastric cancer and had been hospitalized three times for pericardiocentesis, complained of dyspnea at rest and visited our emergency room. Echocardiography showed a large amount of pericardial effusion all around the heart and signs of cardiac tamponade. Percutaneous balloon pericardiotomy was performed and pericardial effusion turned to pleural effusion. We performed left thoracocentesis. One week later, massive pericardial effusion localized only around the right heart appeared, and pericardiocentesis was performed again. After another month, pericardial effusion around right heart appeared again and intrapericardial instillation with OK-432 (Picibanil) was tried. After the procedure, the pericardial effusion did not increase, and he has had few symptoms for 2 months as an outpatient.

US$29.90

PMID: 18186314


Other references

McAinsh Michael J., 1988: Field trip; Red Rock country fossils. Rock and Gem: , Pages 48-51. 1988.

Poradowska, W.; Jaworska, M., 1963: Classification Of Congenital Fissures Of The Palate. Polski Przeglad Chirurgiczny 35: 65-71

Fuchs, A.R.; Rollyson, M.K.; Meyer, M.; Fields, M.J.; Minix, J.M.; Randel, R.D., 1996: Oxytocin induces prostaglandin F2 alpha release in pregnant cows: influence of gestational age and oxytocin receptor concentrations. Brahman cows with known breeding dates received i.v. injections of either 10 or 100 IU oxytocin (OT) on Days 50, 150, 250, or 280 of gestation (n = 6 for each stage). Concentrations of the prostaglandin (PG) F2 alpha, metabolite, 13,14-dihydro-15-...

Jana, S.; Dalapati, S.; Guchhait, N., 2013: Excited state intramolecular charge transfer suppressed proton transfer process in 4-(diethylamino)-2-hydroxybenzaldehyde. In this work, we report intramolecular charge transfer (ICT) suppressed excited state intramolecular proton transfer (ESIPT) process in 4-(diethylamino)-2-hydroxybenzaldehyde (DEAHB). Photophysical properties of DEAHB have been extensively studied...

Bishop, L.R., 1949: The resins of hops as antibiotics. Attention is drawn to the interesting antibiotic properties of lupulon and humulon, the acids isolated from the soft resins of hops.

Morton, D.M.; Alvarez, R.M.; Ruppert, K.R.; Goforth, B., 2008: Contrasting rainfall generated debris flows from adjacent watersheds at Forest Falls, Southern California, USA. Debris flows are widespread and common in many steeply sloping areas of southern California. The San Bernardino Mountains community of Forest Falls is probably subject to the most frequently documented debris flows in southern California. Debris f...

Dudas, S.P.; Arking, R., 1994: The expression of the EF1 alpha genes of Drosophila is not associated with the extended longevity phenotype in a selected long-lived strain. A quantitative dot blot analysis was performed to determine whether the expression of the EF-1 alpha genes of Drosophila melanogaster are associated with the extended longevity phenotype characteristic of our genetically selected long-lived strain...

Drees, H., 1972: Organic herbicides in arable farming. Organic herbicide consumption in the German Federal Republic reached 11 000 t in 1971, which is more than double the figure for 1965 and accounts for 60% of the total pesticide production. About 48% of the compounds were phenoxyacetics, 14% ureas...

Queiros, M., 1982: Caryology of Umbelliferae of Portugal Chromosomes, taxonomic characters.1. Monographs in systematic botany from the Missouri Botanical Garden(6): 325-334

Brat, D.J.; Giannini, C.; Scheithauer, B.W.; Burger, P.C., 1999: Primary melanocytic neoplasms of the central nervous systems. Primary melanocytic neoplasms of the central nervous system (CNS) consist of a spectrum ranging from well-differentiated melanocytoma to its overtly malignant counterpart, melanoma. Diagnostically difficult intermediate lesions lie between these e...