Pericardiectomy is the preferred surgical procedure for the treatment of pericardial effusions with cardiac tamponade. Surgery is indicated in all cases of recurrent effusions after pericardiocentesis. In the literature, the most frequently used surgical procedure is subtotal pericardiectomy. More recently, minimally invasive techniques have allowed a reduction of morbidity compared to traditional procedures. Aim of this paper is to selectively use the new minimally invasive pericardiectomy technique already described in our previous article and to document the results in a series of twenty-eight cases. Twenty-eight dogs underwent complete blood and urine tests, ultrasound examination, pericardiocentesis and CT scan. In all cases the pericardiectomy was performed via a left parasternal thoracotomy through the seventh intercostal space. All the portions of resected pericardium were measured and histologically examined. All dogs had a neoplastic mass at the base of the heart and no recurrence of the pericardial effusion. All dogs were discharged 24 hours after surgery. Parasternal pericardiectomy may be a good option for the minimally invasive treatment of recurrent pericardial effusions, particularly in the presence of neoplastic lesions of the heart base. The morbidity of the approach is similar to that of other known procedures but it is potentially faster and easier to perform. No dedicated instrumentation is required.
| Published in | Animal and Veterinary Sciences (Volume 9, Issue 4) |
| DOI | 10.11648/j.avs.20210904.16 |
| Page(s) | 121-127 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2021. Published by Science Publishing Group |
Pericardial Fenestration, Minimally Invasive Surgery, Parasternal Access
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APA Style
Massimo Frizzi, Laura Ballarini, Davide Costa, Nicola De Quarto. (2021). Parasternal Thoracotomy: Review of Twenty-Eight Cases. Animal and Veterinary Sciences, 9(4), 121-127. https://doi.org/10.11648/j.avs.20210904.16
ACS Style
Massimo Frizzi; Laura Ballarini; Davide Costa; Nicola De Quarto. Parasternal Thoracotomy: Review of Twenty-Eight Cases. Anim. Vet. Sci. 2021, 9(4), 121-127. doi: 10.11648/j.avs.20210904.16
AMA Style
Massimo Frizzi, Laura Ballarini, Davide Costa, Nicola De Quarto. Parasternal Thoracotomy: Review of Twenty-Eight Cases. Anim Vet Sci. 2021;9(4):121-127. doi: 10.11648/j.avs.20210904.16
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Download@article{10.11648/j.avs.20210904.16,
author = {Massimo Frizzi and Laura Ballarini and Davide Costa and Nicola De Quarto},
title = {Parasternal Thoracotomy: Review of Twenty-Eight Cases},
journal = {Animal and Veterinary Sciences},
volume = {9},
number = {4},
pages = {121-127},
doi = {10.11648/j.avs.20210904.16},
url = {https://doi.org/10.11648/j.avs.20210904.16},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.avs.20210904.16},
abstract = {Pericardiectomy is the preferred surgical procedure for the treatment of pericardial effusions with cardiac tamponade. Surgery is indicated in all cases of recurrent effusions after pericardiocentesis. In the literature, the most frequently used surgical procedure is subtotal pericardiectomy. More recently, minimally invasive techniques have allowed a reduction of morbidity compared to traditional procedures. Aim of this paper is to selectively use the new minimally invasive pericardiectomy technique already described in our previous article and to document the results in a series of twenty-eight cases. Twenty-eight dogs underwent complete blood and urine tests, ultrasound examination, pericardiocentesis and CT scan. In all cases the pericardiectomy was performed via a left parasternal thoracotomy through the seventh intercostal space. All the portions of resected pericardium were measured and histologically examined. All dogs had a neoplastic mass at the base of the heart and no recurrence of the pericardial effusion. All dogs were discharged 24 hours after surgery. Parasternal pericardiectomy may be a good option for the minimally invasive treatment of recurrent pericardial effusions, particularly in the presence of neoplastic lesions of the heart base. The morbidity of the approach is similar to that of other known procedures but it is potentially faster and easier to perform. No dedicated instrumentation is required.},
year = {2021}
}
TY - JOUR T1 - Parasternal Thoracotomy: Review of Twenty-Eight Cases AU - Massimo Frizzi AU - Laura Ballarini AU - Davide Costa AU - Nicola De Quarto Y1 - 2021/08/24 PY - 2021 N1 - https://doi.org/10.11648/j.avs.20210904.16 DO - 10.11648/j.avs.20210904.16 T2 - Animal and Veterinary Sciences JF - Animal and Veterinary Sciences JO - Animal and Veterinary Sciences SP - 121 EP - 127 PB - Science Publishing Group SN - 2328-5850 UR - https://doi.org/10.11648/j.avs.20210904.16 AB - Pericardiectomy is the preferred surgical procedure for the treatment of pericardial effusions with cardiac tamponade. Surgery is indicated in all cases of recurrent effusions after pericardiocentesis. In the literature, the most frequently used surgical procedure is subtotal pericardiectomy. More recently, minimally invasive techniques have allowed a reduction of morbidity compared to traditional procedures. Aim of this paper is to selectively use the new minimally invasive pericardiectomy technique already described in our previous article and to document the results in a series of twenty-eight cases. Twenty-eight dogs underwent complete blood and urine tests, ultrasound examination, pericardiocentesis and CT scan. In all cases the pericardiectomy was performed via a left parasternal thoracotomy through the seventh intercostal space. All the portions of resected pericardium were measured and histologically examined. All dogs had a neoplastic mass at the base of the heart and no recurrence of the pericardial effusion. All dogs were discharged 24 hours after surgery. Parasternal pericardiectomy may be a good option for the minimally invasive treatment of recurrent pericardial effusions, particularly in the presence of neoplastic lesions of the heart base. The morbidity of the approach is similar to that of other known procedures but it is potentially faster and easier to perform. No dedicated instrumentation is required. VL - 9 IS - 4 ER -
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