Pleuro-peritoneal Shunting for Refractory Pericardial Effusion after Coronary Artery Bypass Grafting

(Cardiovascular Surgery, Matsuyama Red Cross Hospital, Ehime, Japan)

Takashi Matsumoto Masayoshi Umesue Hironori Baba
Kanzi Matsui
A-75-year-old man had refractory late cardiac tamponade after an off-pump coronary artery bypass grafting. He was initially treated by pericardiocentesis with oral nonsteroidal anti-inflammatory drugs, but the treatment failed. Pericardial fenestration was conducted twice for refractory pericardial effusion during his hospitalization. He presented again with recurrence of cardiac tamponade 2 months after the last pericardial fenestration. Therefore, a pleuroperitoneal shunt system was implanted. He recovered well and was discharged without reaccumulation of pericardial effusion.
  Jpn. J. Cardiovasc. Surg. 39:343-346(2010)

Keywords:cardiac tamponade, pleuroperitoneal shunt, coronary artery bypass grafting