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Minimally Invasive Cardiac Surgery pp 327–342Cite as

Thoracoscopic Pericardial Surgery

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Part of the book series: Contemporary Cardiology ((CONCARD))

Abstract

The pericardium is a unique organ because of the strategic position it occupies within the chest and its close proximity to other vital structures. The pericardium is subject to many of the pathological conditions that affect other organs, such as congenital abnormalities, inflammation, infection, trauma, systemic metabolic disorders, and neoplastic disease. The anatomical and functional effects of these conditions on the pericardium generally result in effusive, restrictive, or constrictive conditions that may compromise cardiac function. In most patients, pericardial disease is asymptomatic, selflimited, and responsive to medical therapy. Symptomatic patients who do not respond to traditional medical therapy or who become physiologically compromised may require surgery. A variety of surgical procedures, requiring subxiphoid, thoracic, and sternal incisions, have been proposed and used effectively to diagnose and treat pericardial diseases and their sequelae. The development of video-assisted thoracoscopy and remarkable advances in endoscopic instrumentation over the last two decades has ushered a paradigm shift from open to minimally invasive approaches to treat pericardial disease.

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Authors
  1. P. Michael McFadden MD
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Editors and Affiliations

  1. Newark Beth Israel Medical Center, Newark, NJ, USA

    Daniel J. Goldstein MD

  2. New York Presbyterian Hospital, New York, NY, USA

    Mehmet C. Oz MD

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McFadden, P.M. (2004). Thoracoscopic Pericardial Surgery. In: Goldstein, D.J., Oz, M.C. (eds) Minimally Invasive Cardiac Surgery. Contemporary Cardiology. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-59259-416-0_23

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  • DOI: https://doi.org/10.1007/978-1-59259-416-0_23

  • Publisher Name: Humana Press, Totowa, NJ

  • Print ISBN: 978-1-61737-400-5

  • Online ISBN: 978-1-59259-416-0

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