Doctor insights on:
Pericardial Window Creation
What does mildly enlarged cardio mediastinal silhouette &mild enhancement anterior and inferior pericardium I am 3 months post pericardial window?
I have a mod-large pericardial effusion inferior to lv & rv. So where is that located exactly? Dr. said "IF" he removes it will do pericardial window.
Bottom of heart: Inferior to left ventricle and right ventricle. So the fluid is at the bottom of your heart. ...Read more
Window: you should let your surgeon know what your symptoms are. The person who performed the procedure is best equipped to judge whether you should be having pain. ...Read more
How long does a pericardial window last? Does it stay open the rest of your life or close quickly?
How safe is the VAT pericardial window approach in a healthy young adult; compared to other surgical ways it can be done?
Safe: it is the sx approach minimally invasive good for recovery ...Read more
What is organizing fibrinous pericarditis diagnosis from tissue obtained during a pericardial window? What are the short term and long term implications?
Likely inflammatory: The most likely possibilities are viral, idiopathic (meaning we don't know), rheumatologic (ie lupus or rheumatoid arthritis), cancer or other infection. If it's not cancer, then it is most likely inflammatory. It should be treated with anti inflammatories and observation. It should be monitored long term by a cardiologist. ...Read moreSee 1 more doctor answer
Window: You should discuss with your care team. In some circumstances one could have fluid reaccumulate but not common. ...Read more
Tamponade: Pericardial window is performed to drain fluid accumulated around the heart ( blood, serous, pericarditis) as it builds up constricts the heart, and prevents normal filing of the cavities. On inspiration, the pulse amplitude decreases, the heart is pumping empty and on expiration the pulse amplitude improves. The drainage, depending of the severity can be done with a large bore needle, OR,live an underwater drain and the patient stay in the ICU, until the drainage reduces in volume and the hemodynamics are normal. This procedure is frequently performed in the ER, post cardiac surgery, post viral infections or post MI. ...Read more
What are the chances of pericardial window closing done on Left side VAT. If it did close could it w/in a week or wold it take longer?
Not meant to close: The pericardial window is not meant to close. It should provide a path for fluid that is building up around the heart to drain into the thoracic or abdominal cavity, where large volumes can accumulate & be gradually reabsorbed without threatening life. If a window closes because of scarring or other problems, fluid can accumulate again. Even small amts of fluid around the heart cause big problems. ...Read more
When a pericardial window is done for chronic pericarditis, where does the continued fluid/blood drain? How is it re absorbed?
Into the chest: If done correctly, the pericardial window will open the enclosed pericardial sac and allow it to drain into the left or right plural space. Usually left. The layer of cells in the plural space in the lung has absorptive capabilities to absorb water and extra fluid.. ...Read more
I had a pericardial window done VAT & the surgeon said I have a small heart. Is that a bad thing? I wanted to ask him, but never got a chance.
I had a pericardial window now I have increased HR & a flutter w/ every heart beat 80% of the time. Told dr. They said I'm fine. I know I'm not. Help?
Flutter: If you feel fluttering not captured on Ekg than an event recorder may be helpful ...Read more
Resting pulse 96-100 &112-120 / winded with light activity since pericardial window 6 weeks ago. Echo normal/ holter-mild tachicardia. How dangerous ?
My normal pulse rate is 73-78. Since having pericardial window 3 weeks ago rate has been 94-99. Still winded and pain under left breast. Why?
Depends. : There are many causes of pericardial effusion, some of which might require a window for treatment and/or prevention of recurrence. Depending on the underlying cause or possible complications, pain might occur/persist afterwards which can be worse with breathing and may therefore contribute to shortness of breath. I would recommend follow up with your physician. ...Read more
I had a chest tube 4mths ago for pericardial window & now I have pain in that area. Scar tissue? Adhesion? Is pain normal to start this far out?
Pericardial effusion new diagnosis..Pericardial window done..No temps..Wbc.6..New pacemaker placed 2mth ago..Lead placement ok..Large pericarditis?
In 65 y/o female with asthma and previous cardiac arrest W/ROSC during Pulm. Embolectomy W/ CPB. Which is safest method for pericardial window?
Complicated question: You ask a VERY complicated question about a complex medical history. The 1st thing to ascertain: "why do you need a pericardial window?" Normally, they are for recurrent cardiac effusions; despite the dramatic surgery & event, effusions aren't typical after cardiac arrest. 2nd, need to know why pulm embolism developed. TTYD or use HealthTap Prime to find answers/specialists. Not enough space here. ...Read more