Instituto do Coração do Hospital das Clínicas da Faculdade de Medicina da USP, São Paulo, Brasil .
Arq Bras Cardiol. 2010 May;94(5):e65-7, e128-30. doi: 10.1590/s0066-782x2010000500025.
The pericardium can be affected by infectious, neoplastic, inflammatory and metabolic diseases. Many conditions require specific treatment and, consequently, an accurate diagnosis is important. Therefore, the pericardial biopsy has an important role in the evaluation of pericardial effusions. The pericardioscopy offers the advantage of the traditional subxiphoid approach, as it allows access to parts of the pericardium that would not be reached by digital palpation, as well as direct visualization through the subxiphoid window or thoracoscopy. We report the case of a patient with a large pericardial effusion and an undiagnosed mediastinal mass, in which video-assisted pericardioscopy was fundamental in the diagnosis and treatment of the disease.
心包可受到感染性、肿瘤性、炎症性和代谢性疾病的影响。许多疾病需要特定的治疗，因此准确的诊断很重要。因此，心包活检在心包积液的评估中具有重要作用。心包镜检查具有传统剑突下方法的优势，因为它可以进入数字触诊无法触及的心包部位，并通过剑突下窗口或胸腔镜进行直接可视化。我们报告了一例患有大量心包积液和未确诊纵隔肿块的患者，其中视频辅助心包镜检查在心包疾病的诊断和治疗中起了关键作用。
