دورية أكاديمية
Video-assisted pericardioscopy. How to improve diagnostic efficacy in pericardial effusions.
| العنوان: | Video-assisted pericardioscopy. How to improve diagnostic efficacy in pericardial effusions. |
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| المؤلفون: | Pêgo-Fernandes PM; Instituto do Coração, Hospital das Clínicas, FMUSP, São Paulo, SP, Brazil. PauloPego@incor.usp.br, Fernandes F, Ianni BM, Rohr SS, Bernardelli IM, Jatene FB, Oliveira SA |
| المصدر: | Arquivos brasileiros de cardiologia [Arq Bras Cardiol] 2001 Nov; Vol. 77 (5), pp. 399-406. |
| نوع المنشور: | Journal Article |
| اللغة: | English; Portuguese |
| بيانات الدورية: | Publisher: Sociedad Brasileira De Cardiologia Country of Publication: Brazil NLM ID: 0421031 Publication Model: Print Cited Medium: Print ISSN: 0066-782X (Print) Linking ISSN: 0066782X NLM ISO Abbreviation: Arq Bras Cardiol Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Sao Paulo : Sociedad Brasileira De Cardiologia |
| مواضيع طبية MeSH: | Pericardial Effusion/*diagnosis , Pericardium/*surgery , Thoracic Surgery, Video-Assisted/*methods, Adolescent ; Adult ; Aged ; Female ; Humans ; Male ; Middle Aged ; Pericardial Effusion/etiology ; Pericardial Effusion/pathology ; Prospective Studies |
| مستخلص: | Objective: To assess, in a prospective way, the experience with video-assisted pericardioscopy obtained in patients with pericardial effusion of unclear etiology in the preoperative period. Methods: From January 1998 to June 2000, 20 patients were operated upon with the aid of video-assisted pericardioscopy. On echocardiography, 17 of these patients had significant pericardial effusion, and 3 had moderate pericardial effusion. Video-assisted pericardioscopy was performed through a small incision of the Marfan type. Results: The diagnosis of pericardial effusion was established as follows: idiopathic in 9 (45%) patients, neoplastic in 4 (20%), resulting from hypothyroidism in 3 (15%), tuberculous in 2 (10%), due to cholesterol in 1 (5%), and chylopericardial in 1 (5%). The biopsy was positive in 30% of the patients, and the etiology could not be defined in 45% of the patients. Conclusion: Video-assisted pericardioscopy proved to be a method with low morbidity and a high index of diagnostic positivity. A high percentage of pericardial effusions are caused by viral infections, which are not diagnosed through current methods, being, therefore, classified as idiopathic. |
| تواريخ الأحداث: | Date Created: 20011206 Date Completed: 20020117 Latest Revision: 20190605 |
| رمز التحديث: | 20231215 |
| DOI: | 10.1590/s0066-782x2001001100002 |
| PMID: | 11733814 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 0066-782X |
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| DOI: | 10.1590/s0066-782x2001001100002 |