Abstract

CHINCHILLA-TRIGOS, Luis Alberto; JIMENEZ-FUENTES, Edgardo; MENESES-GARCIA, Abelardo  and  COBOS-ORTIZ, Mariana. Management of pericardial effusion in cancer patients. rev. colomb. cir. [online]. 2017, vol.32, n.2, pp.82-93. ISSN 2011-7582.  https://doi.org/10.30944/20117582.11.

Introduction: Pericardial effusion is the most frequent cardiac complication in the cancer patient. Lung cancer and breast cancer are the most common solid neoplasms associated with pericardial effusion. Multimodal oncology management has allowed an increase in overall survival and has exposed oncological complications, which require individualized management for these patients. Objective: We present our experience in the management of pericardial effusion, from its physiopathology, adequate classification in: pericardial effusion associated with malignancy, pericardial effusion and pericardial carcinomatosis. Diagnostic and therapeutic approach. Results: the incidence of pericardial effusion in our institution is 12%. In almost 100 pericardial window procedures, pericardiectomy and installation of a pericardial or pleuropericardial tunnelled catheter, in 11 years postoperative mortality was 1.2% and pericardial effusion recurrence was 2.1% compared to 33% recurrence in patients Led to pericardicentesis. Conclusion: Malignant pericardial effusion is an oncologic emergency. It requires cost-effective management in terms of being resolute, expeditious and lasting, with no additional morbidity to a patient, who already appears deteriorated in his general condition. The pericardial window by thoracoscopy, VATS in selected patients and the mini anterolateral thoracotomy are the ideal approach for the patient with malignant pericardial effusion.

Keywords : Neoplasms; pericardium; pericardial effusion; pericardial window techniques; survival.

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