• Acta cardiologica · Jan 1994

    Case Reports

    Percutaneous balloon pericardiotomy for management of cardiac tamponade in a patient with lung cancer and large pericardial effusion.

    • G Kouvaras, A Polydorou, and G Hatziantoniou.
    • Cardiac Catherization Laboratory, General State Hospital, Piraeus St. Panteleimon, Greece.
    • Acta Cardiol. 1994 Jan 1;49(6):549-53.

    AbstractWe describe the case of a 32-year-old man with lung cancer involving the pericardium on which we performed pericardiotomy, using a balloon dilating catheter, to create a non-surgical pericardial window. For the percutaneous creation of pericardial window we advanced into the pericardium by subxiphoid approach a 0.035 inch guide wire through a 7f. pig-tail catheter. Subsequently a 22 mm diameter, 4 cm long balloon dilating catheter was advanced to the parietal pericardium and inflated for about 60 seconds until a tear in the pericardium was formed. We believe that percutaneous balloon pericardiotomy is helpful in the management of large pericardial effusions particularly in patients with malignancies and poor condition.

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