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Eur J Cardiothorac Surg 1999;15:528-529
© 1999 Elsevier Science NL

Images in cardio-thoracic surgery

Pleuro-pericardiocenthesis: an unusual procedure

Giovanni Dialetto, Franco Enrico Covino, Aurelio Caruso, Maurizio Cotrufo

Divisione di Cardiochirurgia, Azienda Ospedaliera Monaldi-Cotugno, Seconda Università di Napoli, Napoli, Italy

Received 13 October 1998; received in revised form 27 January 1999; accepted 2 February 1999.

Corresponding author. Tel.: +39-81-5793001; fax: +39-81-5464594.

By echocardiography performed from the left posterior thoracic wall, we visualized a large posterior pericardial effusion and a left pleural effusion ( Fig. 1 Fig. 2 ). We inserted a catheter from the left posterior axillary line into the pleural ( Fig. 1) and pericardial cavity ( Fig. 2). A volume of 800 ml of serous-haemorragic fluid was drained from the pericardial and 400 ml from the pleural cavity after catheter withdrawal with consequent hemodynamic improvement.



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