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European Heart Journal 1993 14(1):135-137;
Copyright © 1993 by the European Society of Cardiology.
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© 1993 The European Society of Cardiology

Pericardial biopsy and fenestration

R. INDERBITZI, M. FURRER and F. LEUPI

Department of Thoracic and Cardiovascular Surgery, University of Berne Switzerland

Received 3 January 1992; revised 10 July 1992; .

Correspondence: R. Inderbitzi, MD, Dept. of Thoracic and Cardiovascular Surgery, Unisersity of Berne, 3010 Berne, Switzerland

Abstract

Employing a video thoracoscopic pericardial fenestration constitutes a promising technique for the investigation and treatment of chronic pericardial effusions. It combines the benefit of low invasiveness with the advantages of open biopsy. The procedure simultaneously allows both an accurate diagnosis under visual control (inspection, aspiration, well targeted biopsy of pathological processes) and the performance of effective therapeutic intervention. Without imposing unacceptable stress, it also facilitates rapid symptom relief in patients with advanced malignant disease whose general condition is severely impaired.

Key Words: Pericardial effusion • thoracoscopic fenestration • diagnostic • treatment • minimally invasive surgery


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