Khan Aryaan, Hudson Michael L, Petree Tyler R
University of Medicine and Health Sciences, Saint Kitts and Nevis.
Department of Surgery, Sinai Grace Hospital, Detroit Medical Center, Detroit, MI, USA.
Int J Surg Case Rep. 2023 Aug;109:108565. doi: 10.1016/j.ijscr.2023.108565. Epub 2023 Jul 26.
Pericardial effusion can lead to cardiac tamponade requiring immediate management. Pericardial windows are an effective measure to surgically drain recurrent effusions.
We present a case of a 53-year-old male with recurrent pericardial effusion secondary to ESRD and exacerbated by COVID-19 infection, describing the successful management of an uncommon clinical scenario. A sub-xiphoid pericardial window and right sided thoracostomy was performed.
There are limited case reports highlighting recurrent pericardial effusion management, secondary to ESRD and COVID-19 in a post renal transplant patient, through a subxiphoid pericardial window.
COVID-19 infection can exacerbate pericardial effusion in a patient with ESRD, post renal transplant. Preventing cardiac tamponade, a sub-xiphoid pericardial window remains an effective measure in treating recurrent pericardial effusion.
心包积液可导致心脏压塞，需要立即进行处理。心包开窗术是手术引流复发性积液的有效措施。
我们报告一例53岁男性患者，因终末期肾病继发复发性心包积液，并因新冠病毒感染而加重，描述了对这一罕见临床情况的成功处理。进行了剑突下心包开窗术和右侧胸廓造口术。
关于肾移植术后因终末期肾病和新冠病毒感染继发复发性心包积液，通过剑突下心包开窗术进行处理的病例报告有限。
新冠病毒感染可使肾移植术后终末期肾病患者的心包积液加重。为预防心脏压塞，剑突下心包开窗术仍是治疗复发性心包积液的有效措施。
