Thoracoscopic Pericardiectomy and Insertion of Epicardial Pacemaker Lead

  • A. Cuschieri


Although it is difficult to predict the ultimate scope of thoracoscopic cardiac surgery with or without a small access thoracotomy (video-assisted thoracoscopic surgery), there is little doubt about its potential; single case reports of ligation of patent ductus are documented and experimental cannulation of the atrial chambers has been performed. In this chapter the technique of two simple cardiac procedures — pericardial fenestration for effusion and insertion of epicardial pacemaker lead — are outlined. Our limited experience with these two operations has been entirely favourable. Excellent results have also been reported from other centres [1].


Lactate Cage Peri Dial Pericarditis 


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  1. 1.
    Hazelrigg SR, Mack M, Landreneau R (1992) Thoracoscopic pericardiectomy for pericardial effusion. Min In-vas Ther [Suppl 1] 1: 39Google Scholar
  2. 2.
    Reddy PS, Curtiss EL, O’Toole JD et al (1978) Cardiac tamponade: hemodynamic observations in man. Circulation 58: 265–272PubMedCrossRefGoogle Scholar
  3. 3.
    Bateman T, Gray R, Chaux A et al (1982) Right atrial tamponade caused by hematoma complicating coronary artery bypass graft surgery: clinical hemodynamic and scintigraphic correlates. J Thorac Cardiovasc Surg 84: 413–419PubMedGoogle Scholar

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© Springer-Verlag Berlin Heidelberg 1994

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  • A. Cuschieri

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