Pleuro-peritoneal Shunting for Refractory Pericardial Effusion after Coronary Artery Bypass Grafting

Pleuro-peritoneal Shunting for Refractory Pericardial Effusion after Coronary Artery Bypass Grafting

（Cardiovascular Surgery, Matsuyama Red Cross Hospital, Ehime, Japan）

Takashi Matsumoto Masayoshi Umesue Hironori Baba

Kanzi Matsui

A-75-year-old man had refractory late cardiac tamponade after an off-pump coronary artery bypass grafting. He was initially treated by pericardiocentesis with oral nonsteroidal anti-inflammatory drugs, but the treatment failed. Pericardial fenestration was conducted twice for refractory pericardial effusion during his hospitalization. He presented again with recurrence of cardiac tamponade 2 months after the last pericardial fenestration. Therefore, a pleuroperitoneal shunt system was implanted. He recovered well and was discharged without reaccumulation of pericardial effusion.
Jpn. J. Cardiovasc. Surg. 39:343-346（2010）

Keywords：cardiac tamponade, pleuroperitoneal shunt, coronary artery bypass grafting