Related Experiment Video
Updated: Jun 4, 2026

08:50
Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement
Published on: March 26, 2018
Awake thoracoscopic pericardial window is safe and feasible
Dong-Seok Lee1, Raja M Flores1
1Department of Thoracic Surgery, Icahn School of Medicine at Mount Sinai, Mount Sinai Health System, New York, NY, USA.
Journal of Visualized Surgery
|June 3, 2026
Summary
Awake thoracoscopic pericardial window surgery offers a safe alternative for patients unable to tolerate general anesthesia. This minimally invasive procedure provides diagnostic and therapeutic benefits for pericardial effusions.
Area of Science:
- Cardiothoracic Surgery
- Minimally Invasive Procedures
- Anesthesiology
Background:
- Pericardial window procedures are definitive treatments for pericardial effusions.
- Minimally invasive approaches offer patient and surgical advantages but typically require general anesthesia.
- General anesthesia poses risks for some patients, limiting minimally invasive options.
Related Concept Videos
Pericarditis III: Medical Management
The primary objectives of managing pericarditis are to determine the underlying cause, provide effective therapy for treatment and symptom relief, and promptly detect signs and symptoms of cardiac tamponade. The following outlines the essential aspects of medical management for pericarditis:ObjectivesDetermine the Cause: Identifying the underlying cause of pericarditis is crucial for targeted treatment. Causes include viral infections, autoimmune diseases, post-cardiac injury syndrome, and...
Endoscopic Studies II: Thoracocentesis
Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...

