Chronic Cardiac Tamponade Treatment in Cardiac Neoplasms
https://doi.org/10.23934/2223-9022-2019-8-1-81-86
Abstract
Among complications of malignant neoplasms of the heart, tumor exudative pericarditis requires emergency surgical measures with the development of chronic tamponade. At the frst stage, puncture drainage of the pericardial cavity is advisable. In case of a common tumor process and the impossibility of radical surgical treatment by the second stage, it is advisable to perform video assisted thoracoscopic pericardial fenestration with biopsy and pleurodesis, if necessary. This tactic improves the quality of life in patients and complies with modern standards of treatment of this disease.
About the Authors
O. V. VoskresenskyRussian Federation
Oleg V. Voskresensky – Dr. Med. Sci., Thoracic Surgeon, Senior Lecturer of the Department for Training of Study and Scientifc Personnel
3 bolshaya Sukharevskaya Square, Moscow 129090
E. A. Tarabrin
Russian Federation
Evgeni A. Tarabarin – Cand. Med. Sci., Thoracic Surgeon, Head of the Department for Emergency Thoracoabdominal Surgery
3 bolshaya Sukharevskaya Square, Moscow 129090
G. Y. Belozyorov
Russian Federation
Georgy Y. Belozyorov – Dr. Med. Sci., Professor, Chief Researcher of the Departnent of X-ray Surgery Methods of Diagnosis and Treatment
3 bolshaya Sukharevskaya Square, Moscow 129090
I. Y. Galankina
Russian Federation
Irina Y. Galankina – Dr. Med. Sci., Professor, Head of the Department for Pathological Anatomy
3 bolshaya Sukharevskaya Square, Moscow 129090
E. B. Nikolayeva
Russian Federation
Elena B. Nikolayeva – Cand. Med. Sci., Thoracic Surgeon of the Department of Thoracic Surgery
3 bolshaya Sukharevskaya Square, Moscow 129090
Y. A. Radchenko
Russian Federation
Yuri A. Radchenko – Cand. Med. Sci., Thoracic Surgeon, Head of the Department of Thoracic Surgery
3 bolshaya Sukharevskaya Square, Moscow 129090
References
1. Tsukerman G.I., Malashenkov A.I., Kavsadze V.E. Cardiac tumors (clinic, diagnosis and results of surgical treatment). Moscow: Izdatel’stvo NTSSSKH im AN Bakuleva RAMN Publ., 1999. 268 p. (In Russian).
2. Kovalenko V.N., Nesukay E.G. Non-coronary heart disease. Kiyev: Morion Publ., 2001. 480 p. (In Russian).
3. Kuz’mina I.M., Gvindzhiliya T.R., Shklyarov A.M., et al. Razvitiye ostrogo infarkta miokarda za schet sdavleniya stvola levoy koronarnoy arterii opukhol’yu serdtsa: klinicheskoye nablyudeniye. Russian Sklifosovsky Journal Emergency Medical Care. 2018; (1): 68–70. (In Russian).
4. Association of oncologists of Russia. Tumors of the mediastinum and the heart: clinical practice guidelines ICD 10: D15/C37/C38. Moscow, 2017. 36 p. (In Russian).
5. Antunes G, Neville E, Duffy J, Ali N. BTS guidelines for the management of malignant pleural effusions. Thorax. 2003; 58 (Suppl 2): ii29–38. PMID: 12728148. PMCID: PMC1766015.
6. Lee Y.C., Baumann M.H., Maskell N.A., et al. Pleurodesis practice for malignant pleural effusions in five English-speaking countries: survey of pulmonologists. Chest. 2003; 124 (6): 2229–2238. PMID: 14665505.
7. Gilyarevskiy S.R. Diagnosis and treatment of pericardial diseases: modern approaches based on evidence and clinical experience. Moscow: Media Sfera Publ., 2004: 26–39. (In Russian).
8. Moores D.W., Dziuban S.W. Jr. Pericardial drainage procedures. Chest Surg Clin N Am. 1995; 5(2): 359–373. PMID: 7613970.
9. Toth I., Szucs G., Molnar T.F. Mediastinoscope-controlled parasternal fenestration of the pericardium: definitive surgical palliation of malignant pericardial effusion. J Cardiothorac Surg. 2012; 7: 56. PMID: 22713743. DOI: 10.1186/1749-8090-7-56.
10. Fibla J.J., Molins L., Mier J.M., Vidal G. Pericardial window by videothoracoscope in the treatment of pericardial effusion and tamponade. Cir Esp. 2008; 83(3): 145–148. PMID: 18341904.
Review
For citations:
Voskresensky O.V., Tarabrin E.A., Belozyorov G.Y., Galankina I.Y., Nikolayeva E.B., Radchenko Y.A. Chronic Cardiac Tamponade Treatment in Cardiac Neoplasms. Russian Sklifosovsky Journal "Emergency Medical Care". 2019;8(1):81-86. https://doi.org/10.23934/2223-9022-2019-8-1-81-86