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Published on: June 12, 2021
Percutaneous pericardio-peritoneal shunt (PPP)--a novel palliative treatment for recurrent cardiac tamponade
Sunil Chandy1, Viji S Thomson, Tony Thomson Chandy
1Dept. of Cardiology, Christian Medical College and Hospital, Vellore-632004, (TN), India. schandy@cmcvellore.ac.in
Abstract:
The management of pericardial effusion with recurrent cardiac tamponade in disseminated malignancy is a therapeutic challenge. Treatment options include repeated aspirations, balloon pericardiostomy and surgical pericardial window with variable success at symptom palliation. We describe a safe and novel percutaneous technique of pericardio-peritoneal shunt for palliative treatment of malignancy associated massive pericardial effusion ina patient who declined surgery and had refractory pericardial effusion despite repeated pericardiocentesis, chemical pericardiodesis and balloon pericardiostom
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