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Is malignancy associated with pericardial effusion fluid volume or fluid character?
Mehmet A Yeşiltaş1, Ahmet O Koyuncu2, İsmail Haberal2
1Department of Cardiovascular Surgery, Health Ministry Bakırköy Dr. Sadi Konuk Training and Research Hospital, Istanbul, Turkey.
Journal of Cardiac Surgery
|July 16, 2020
Summary
The subxiphoidal approach effectively treats pericardial effusion. A larger fluid drainage volume may indicate malignancy, aiding in diagnosis.
Area of Science:
- Cardiology
- Oncology
- Surgical Procedures
Background:
- Pericardial effusion presents with diverse etiologies.
- Understanding these causes is crucial for effective patient management.
- Malignancy is a significant concern in pericardial effusion cases.
Purpose of the Study:
- To investigate the etiologies of pericardial effusion.
- To assess the significance of effusion volume in relation to malignancy.
- To evaluate the utility of the subxiphoidal approach.
Main Methods:
- Retrospective analysis of 142 patients with pericardial effusion (2014-2019).
- All patients underwent the subxiphoidal surgical approach for drainage and sampling.
- Fluid samples were analyzed microbiologically and pathologically.
Main Results:
- Malignancy was identified as the etiology in 22.9% of cases.
- Patients with malignancy-related effusions tended to have larger drainage volumes (>500 mL).
- The subxiphoidal approach facilitated complete fluid drainage and sampling.
Conclusions:
- The subxiphoidal approach is a safe and effective method for diagnosing and treating pericardial effusion.
- Drainage volume is a potential indicator for considering malignancy.
- This approach simplifies pericardial fluid sampling and analysis.
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