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Pericardial Window for Methicillin-Resistant Staphylococcus aureus Pericarditis

Hiroaki Oizumi1, Hideomi Ichinokawa1, Hironobu Hoshino1

  • 1Department of General Thoracic Surgery, Juntendo University Shizuoka Hospital, Shizuoka, Japan.

The Annals of Thoracic Surgery
|June 23, 2018
PubMed

Insights

Methicillin-resistant Staphylococcus aureus pericarditis is rare and life-threatening. Thoracotomy-created pericardial windows offer effective treatment, particularly for patients with adhesions.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Thoracic Surgery

Background:

  • Pericarditis, particularly methicillin-resistant Staphylococcus aureus (MRSA) pericarditis, presents a rare but severe clinical challenge.
  • Standard treatment involves pericardiocentesis, pericardial drainage, and antibiotics, but recurrence can occur.

Observation:

  • A 58-year-old male patient presented with cardiac tamponade due to MRSA pericarditis.
  • Initial treatment with pericardiocentesis and antibiotics provided temporary relief, but the pericardial effusion reaccumulated.

Findings:

  • A pericardial window was successfully created via thoracotomy as a definitive surgical intervention.
  • The patient experienced an uneventful postoperative recovery following the pericardial window procedure.

Implications:

  • Thoracotomy-facilitated pericardial window creation is a viable and effective definitive treatment for MRSA pericarditis.
  • This surgical approach may be particularly beneficial for patients with complex cases, including significant pericardial adhesions.

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