The Journal of Thoracic and Cardiovascular Surgery, Vol 73, 504-510, Copyright © 1977 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
Pericardial drainage operations in the management of uremic pericardial effusion
HE Fox, JM Yee, JC Weaver Jr, DJ Dugan and PC Samson
Because of frequent failures in nonoperative therapy, we have adopted early
surgical drainage of the pericardium in the management of uremic
pericardial effusion. This series presents the longest follow-up period of
any group of patients with uremic pericardial effusion treated by surgical
drainage. There have been no intraoperative deaths and no recurrences. The
total hospital mortality rate was 8.3 per cent and the late mortality rate
over a 72 month period was 25 per cent. Internal pericardiostomy drainage
is a simple yet effective surgical solution to the life-threatening problem
of uremic pericardial effusion.