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Ben-Horin et al. (2005) studied the composition of pericardial fluid in patients undergoing open heart surgery. They found that the fluid is made up of a high concentration of lactate dehydrogenase (LDH), protein and lymphocytes. In a healthy adult there is up to 50 ml of clear, straw-coloured fluid. [3] However, there is little data on the ...
This is most often done by cutting through the pericardium and creating a pericardial window [1] This window provides a path for the fluid to be drained directly into the chest cavity, which prevents future development of cardiac tamponade. In localized effusions, it might be difficult to get safe access for pericardiocentesis, hence a surgical ...
Video-assisted thoracoscopic surgery (VATS) is a type of minimally invasive thoracic surgery performed using a small video camera mounted to a fiberoptic thoracoscope (either 5 mm or 10 mm caliber), with or without angulated visualization, which allows the surgeon to see inside the chest by viewing the video images relayed onto a television screen, and perform procedures using elongated ...
They may make an open surgical incision of up to 10 cm. [6] This is usually located below the xiphoid process of the sternum (sub-xiphoid). [4] Alternatively, access may be gained thoracoscopically with a smaller surgical incision. [3] [7] A small hole of between 1 cm and 2 cm is cut in the pericardium, which is the membrane that surrounds the ...
The injury may also affect a specific organ such as the heart, which can develop an air embolism or a cardiac tamponade (which prevents the heart from beating properly). The primary indication for a resuscitative thoracotomy is a patient with penetrating chest trauma who has entered or is about to enter cardiac arrest . [ 4 ]
Cardiopulmonary bypass (CPB) or heart-lung machine, also called the pump or CPB pump, is a machine that temporarily takes over the function of the heart and lungs during open-heart surgery by maintaining the circulation of blood and oxygen throughout the body. [1] As such it is an extracorporeal device. CPB is operated by a perfusionist. The ...
Heart function often recovers very quickly after pericardiectomy is performed, [8] although the surgery itself can cause reduced cardiac output in the short term. [4] After surgery, many patients will have a chest drain to remove pericardial fluid. [2] Hospital recovery takes several days, with surgical suture removed after a week. [2]
The pericardium is a fibrous sac surrounding the heart composed of two layers: an inner visceral pericardium and an outer parietal pericardium. [1] The area between these two layers is known as the pericardial space and normally contains 15 to 50 mL of serous fluid. [2]