A Case of Surgical Treatment Applying a Denver Shunt for Intractable Pericardial Effusion / デンバーシャントを応用した難治性心嚢液貯留に対する1例
- Resource Type
- Journal Article
- Authors
- Hiromitsu Kawasaki; Kozo Naito; Manabu Sato; Sojiro Amamoto; 内藤 光三; 天本 宗次郎; 川﨑 裕満; 里 学
- Source
- 日本心臓血管外科学会雑誌 / Japanese Journal of Cardiovascular Surgery. 2019, 48(2):125
- Subject
- Denver shun
pericardial effusion
pericardial fenestration
pleuro-peritoneal shunt
デンバーシャント
心嚢液貯留
心膜開窓術
胸腔腹腔シャント
- Language
- Japanese
- ISSN
- 0285-1474
1883-4108
Surgical management is recommended for a patient with intractable pericardial effusion indicating medical treatment resistance and cardiac tamponade. We report our experience of surgical treatment applying a Denver shunt for intractable pericardial effusion. A 60-year-old woman suffered pericarditis accompanying pericardial effusion complications of systemic lupus erythematosus. She had repeatedly undergone pericardial drainage, however, there was a possibility of increased cardiac tamponade. Surgical treatment consisted of pericardial fenestration with thoracoscopic assist and right pleuro-peritoneal shunt using a Denver shunt. The heart failure symptoms disappeared and pericardial effusion considerably decreased after surgery. The postoperative course was uneventful without recurrence after 1-year of follow up. In the literature, postoperative complications such infection and shunt obstruction have been reported. Careful follow up is mandatory and selection of self-manageable cases is important.