Intermediate
Technical
IVT
pericardial window
Surgical creation of an opening in the pericardium to drain fluid and prevent recurrent pericardial effusion.
Full Definition
A pericardial window is a surgical procedure that creates a permanent opening in the pericardium to allow drainage of pericardial fluid into the pleural space or peritoneum. This procedure is indicated for recurrent pericardial effusions, particularly those that are malignant or inflammatory in nature. The window can be created through various approaches including subxiphoid, thoracoscopic, or open thoracotomy, depending on the patient's condition and surgeon preference.
Usage
Usage note: Specify surgical approach (subxiphoid, thoracoscopic, open) when documenting the procedure.
In Context
- "A subxiphoid pericardial window was created to address recurrent malignant effusion." — Operative report
- "The thoracoscopic pericardial window provided excellent drainage with minimal morbidity." — Procedure note
Also known as
pericardiostomy
pericardial drainage procedure
Don't confuse with
pericardiocentesis
pericardial stripping