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A pericardial window is a cardiac surgical procedure to create a fistula – or "window" – from the pericardial space to the pleural cavity. [1] The purpose of the window is to allow a pericardial effusion or cardiac tamponade to drain from the space surrounding the heart into the chest cavity .
A pericardial effusion is an abnormal accumulation of fluid in the pericardial cavity. The pericardium is a two-part membrane surrounding the heart: the outer fibrous connective membrane and an inner two-layered serous membrane. The two layers of the serous membrane enclose the pericardial cavity (the potential space) between them. [1]
Pleuroperitoneal is a term denoting the pleural and peritoneal serous membranes or the cavities they line. It is divided from the pericardial cavity by the transverse septum. Congenital defect or traumatic injury of pleuroperitoneal membrane can lead to diaphragmatic hernia.
A serous membrane lines the pericardial cavity of the heart, and reflects back to cover the heart, much like an under-inflated balloon would form two layers surrounding a fist. Called the pericardium, this serous membrane is a two-layered sac that surrounds the entire heart except where blood vessels emerge on the heart's superior side; [4]
Serous membrane fluid collects on microvilli on the outer layer and acts as a lubricant and reduces friction from muscle movement. This can be seen in the lungs, with the pleural cavity. Pericardial fluid is a serous fluid secreted by the serous layer of the pericardium into the pericardial cavity. The pericardium consists of two layers, an ...
Colchicine has been used effectively to prevent pericarditis, and inflammation that follows surgery of the pericardium. [5] Although no current drug on the market prevents post-pericardiotomy syndrome, colchicine seems to provide an effective and safe way to treat pericarditis by reducing inflammation. [ 6 ]
The pericardium (pl.: pericardia), also called pericardial sac, is a double-walled sac containing the heart and the roots of the great vessels. [1] It has two layers, an outer layer made of strong inelastic connective tissue (fibrous pericardium), and an inner layer made of serous membrane (serous pericardium).
Pericardiocentesis should be performed with ultrasound guidance whenever possible to prevent complications. [2] [6] This allows practitioners to assess the location of the pericardial effusion and identify adjacent structures. [6] With ultrasound guidance, an apical approach is most often used, but parasternal and subxiphoid approaches can also ...