Intrapericardial urokinase irrigation and systemic corticosteroids: an alternative to pericardectomy for persistent fibrino-purulent pericarditis
Détails
ID Serval
serval:BIB_FD5C3F1DFDD5
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Etude de cas (case report): rapporte une observation et la commente brièvement.
Collection
Publications
Institution
Titre
Intrapericardial urokinase irrigation and systemic corticosteroids: an alternative to pericardectomy for persistent fibrino-purulent pericarditis
Périodique
Cardiovascular Surgery
ISSN
0967-2109 (Print)
Statut éditorial
Publié
Date de publication
10/2002
Volume
10
Numéro
5
Pages
508-11
Notes
Case Reports
Journal Article --- Old month value: Oct
Journal Article --- Old month value: Oct
Résumé
A 39-year-old man was admitted for upper abdominal pain and shortness of breath. The chest roentgenogram demonstrated cardiomegaly and left lower lobe atelectasis. Echocardiography showed circumferential pericardial effusion with signs of cardiac tamponade. Pericardial biopsy and fluid analysis were consistent with fibrino-purulent pericarditis. Despite broad-spectrum antibiotics, percutaneous and subsequently surgical drainage, pericardial effusion and tamponade recurred. We report successful treatment of a non-resolving fibrino-purulent pericardial effusion by combined intrapericardial irrigation of fibrinolytics and systemic corticosteroids administration as an alternative to pericardectomy.
Mots-clé
Acute Disease
Adult
Anti-Inflammatory Agents/*therapeutic use
Drug Therapy, Combination
Humans
Irrigation
Male
Pericardiectomy
Pericarditis/*drug therapy/ultrasonography
Plasminogen Activators/*therapeutic use
Prednisone/*therapeutic use
Urinary Plasminogen Activator/*therapeutic use
Pubmed
Web of science
Création de la notice
28/01/2008 10:47
Dernière modification de la notice
20/08/2019 17:28