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  • 70 -1 (29/2) 2020 — Mamarasulova D.Z., Khasanov D.Sh., — EXPERIENCE OF SUCCESSFUL THORACOSCOPIC PERICARDECTOMY OF EXUDATIVE PERICARDITIS WITH COMPRESSION SYNDROME AND THE THREAT OF CARDIAC TAMPONADE

70 -1 (29/2) 2020 — Mamarasulova D.Z., Khasanov D.Sh., — EXPERIENCE OF SUCCESSFUL THORACOSCOPIC PERICARDECTOMY OF EXUDATIVE PERICARDITIS WITH COMPRESSION SYNDROME AND THE THREAT OF CARDIAC TAMPONADE

EXPERIENCE OF SUCCESSFUL THORACOSCOPIC PERICARDECTOMY OF EXUDATIVE PERICARDITIS WITH COMPRESSION SYNDROME AND THE THREAT OF CARDIAC TAMPONADE

Mamarasulova D.Z., Andijan State Medical Institute.

Khasanov D.Sh., Andijan State Medical Institute.

Tulanov D.Sh., Andijan State Medical Institute.

Azizov Y.D., Andijan State Medical Institute.

Mamarasulova S.R., Andijan State Medical Institute.

Resume,

This scientific article describes the case of successful performance of a thoracoscopic pericardectomy in a 72-year-old patient about exudative pericarditis with compression syndrome and with the threat of cardiac tamponade. Pericarditis is an inflammation of the serous membrane of the heart. According to the form of clinical manifestations of pericarditis, emit acute, subacute and chronic. Depending on the nature of the inflammatory process, there are fibrinous and exudative pericarditis with the presence of serous, serous- fibrinous, purulent, fibrinous-purulent and hemorrhagic effusion. Patients with the threat and development of cardiac tampon with purulent and constrictive pericarditis were shown surgical intervention. As a result, a thoracoscopic pericardectomy with a good clinical and cosmetic effect was performed. The clinical case is interesting using a minimally invasive technique. When a patient has exudative pericarditis, pericardectomy in the immediate postoperative period has led to good results, which was an effective method of treatment for this pathology. As a result, we concluded that the thoracoscopic pericardectomy method is an alternative to thoracotomy and sternotomy. The use of minimally invasive treatment of pericarditis can be a promising method and requires further study of long-term results.

Key words: pericarditis, thoracoscopy, pericardectomy, thoracoscopic fenestration, cardiac tamponade, cardiac compression syndrome, echocardiography, pericardial resection.

First page

255

Last page

261

For citation: Mamarasulova D.Z., Khasanov D.Sh., Tulanov D.Sh., Azizov Y.D., Mamarasulova S.R., Experience of successful thoracoscopic pericardectomy of exudative pericarditis with compression syndrome and the threat of cardiac tamponade//New Day in Medicine 1(29)2020 255-261 https://cutt.ly/lvChwzd

List of References

  1. Гиляревский С.Р. Диагностика и лечение заболеваний пери­карда: современные подходы, основанные на доказательной информации и клиническом опыте. М.: Медиа сфера, 2004. с. 132.
  2. Гогин Е.Е. Болезни перикарда. М.: Медицина, 1979. с. 192.
  3. Разумовский А.Ю., Митупов З.Б. Эвдохирургические опера­ции в торакальной хирургии у детей: рук. Москва, РФ: ГЭО- ТАР-Медиа; 2010. 304 с.
  4. Соловьев Г.М. Эндоскопическая перикардэктомия при вы­потной перикардите. Кардиология 1993; 4:38-40.
  5. Торакаль^ая хирургия: руководство / под. ред. Л.Н. Бисежова. СПб: Гиппократ, 2004. с. 927.
  6. Agrawal V., Saxena A., Sethi A., Acharya H. Thoracoscopic pericardiactomy for management of purulent pneumococcal pericarditis in a child. Asian J Endosc Surg. 2012 Aug; 5(3): 145-48.
  7. Augustin P, Desmard M, Mordant P, Lasocki S, Maury JM, Heming N, et al. Clinical review: intraperi-cardial fibrinolysis in management of purulent pericarditis. Crit Care. 2011 Apr 20;15(2):220. doi: 10.1186/ cc10022.
  8. Besit N., Unlu Y., Ceviz M., Kocagullari C.U. et al. Subxiphoid pericardiostomy in the management of pericardial effusion: case series analysis of 368 patients. Heart. 2005; 91:785-790.
  9. Cakir O, Gurkan F, Balci AE, Eren N, Dikici B. Purulent pericarditis in childhood: ten years of experience. JPediatr Surg. 2002 Oct; 37(10):1404-8.
  10. Dupre GP, Corlouer JP, Bouvy B. Thoracoscopic pericardectomy performed without pulmonary exclusion in 9 dogs. Vet Surg. 2001 Jan-Feb; 30(1):21-7.
  11. 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 Mar; 83(3): 145-148.
  12. Jackson J., Richter K.P., Launer D.P. Thoracoscopic partial pericardiectomy in 13 dogs. J Vet Intern Med 1999 Nov-Dec; 13(6): 529-33.
  13. Liem N.T., Tuan T., Dung le A. Thoracoscopic pericardiactomy for management of purulent pericarditis: experience with 21 cases. J Laparoendosc Adv Surg Tech A. 2006 Oct; 16(5): 518­21.
  14. Maisch B., Risti A.D., Seferovi P.M., et al. Guidelines on the Diagnosis and Management of Pericardial Diseases Executive Summary. The Task Force on the Diagnosis and Management of Pericardial Diseases of the European Society of Cardiology. Executive summary. Eur Heart J 2004; 25:587-610.
  15. Ohtsuka T, Takamoto S, Nakajima J, Miyairi T, Kotsuka Y. Minimally invasive limited pericardiectomy: the hybrid approach. Ann Thorac Surg. 2000 0ct; 70(4):1429-30.
  16. Pankuweit S, Risti AD, Seferovi PM, Maisch B. Bacterial pericarditis: diagnosis and management. Am J Cardiovasc Drugs. 2005;5(2):103-12.
  17. Tsang T.S., Enriquez-Sarano M., Freeman W.K. et al. Consecutive 1127 therapuetic echocardiographically guided pericardiocenteses: clinical profile, practice patterns and outcomes spanning 21 years. Mayo. Clin. Proc. 2002; 77(5):429-436.
  18. Walsh P.J., Remedios A.M., Ferguson J.F., Walker D.D., Cantwell S., Duke T. Thoracoscopic versus open partial pericardiactomy in dogs: comparison of postoperative pain and morbidity. Vet. Surg. 1999 Nov-Dec; 28(6):472-479.

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