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European Journal of Cardio-Thoracic Surgery, Vol 10, 220-222, Copyright © 1996 by European Association for Cardio-thoracic Surgery

ARTICLES

Thoracoscopic creation of a pericardial window for recurrent pericardial effusion after heart transplantation

M Brandt, M Bruckner, SW Hirt, J Cremer, D Schroder and A Haverich
Department of Cardiovascular Surgery, Christian-Albrechts-University Hospital, Kiel, Germany.

A 56-year-old man underwent orthotopic heart transplantation (Htx) for dilative cardiomyopathy. The postoperative course was uneventful despite the appearance of pericardial effusions during the first 6 months, which required repeated drainage therapy. Six months postoperatively a pericardial window was created using a thoracoscopic approach via the right pleural cavity. The course after this intervention was uncomplicated and there was no recurrence of the pericardial effusion during 18 months of follow-up.