Japanese Journal of Cardiovascular Surgery Vol48,No2

A Case of Surgical Treatment Applying a Denver Shunt for Intractable Pericardial Effusion
Sojiro Amamoto* Manabu Sato* Hiromitsu Kawasaki*
Kozo Naito*

(Department of Cardiovascular Surgery, Saga-ken Medical Centre Koseikan, Saga, Janan)

Surgical management is recommended for a patient with intractable pericardial effusion indicating medical treatment resistance and cardiac tamponade. We report our experience of surgical treatment applying a Denver shunt for intractable pericardial effusion. A 60-year-old woman suffered pericarditis accompanying pericardial effusion complications of systemic lupus erythematosus. She had repeatedly undergone pericardial drainage, however, there was a possibility of increased cardiac tamponade. Surgical treatment consisted of pericardial fenestration with thoracoscopic assist and right pleuro-peritoneal shunt using a Denver shunt. The heart failure symptoms disappeared and pericardial effusion considerably decreased after surgery. The postoperative course was uneventful without recurrence after 1-year of follow up. In the literature, postoperative complications such infection and shunt obstruction have been reported. Careful follow up is mandatory and selection of self-manageable cases is important.


Jpn. J. Cardiovasc. Surg. 48:125-127(2019)

Keywords:pericardial effusion;Denver shun;pericardial fenestration;pleuro-peritoneal shunt

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