Author + information
- Received July 16, 1985
- Revision received September 12, 1985
- Accepted September 18, 1985
- Published online February 1, 1986.
- George T. Kondos, MDa,
- Stuart Rich, MD, FACC and
- Sidney Levitsky, MD, FACC
- ↵aAddress for reprints: George T. Kondos, MD, Section of Cardiology, Department of Medicine, University of Illinois at Chicago, P. O. Box 6998, Chicago, Illinois 60680.
Pericardiocentesis provides an etiologic diagnosis for pericardial effusions approximately 25% of the time. In seven patients with evidence of a large pericardial effusion of unknown origin without cardiac tamponade, a flexible fiberoptic bronchoscope was inserted through a subxiphoid incision after the effusion was drained. Pericardioscopy allowed visualization of all pericardial surfaces and made it possible to perform selective biopsy not limited to a subxiphoid window. It is a safe procedure that can permit distinction among benign, malignant and tuberculous origins of pericardial effusion.
The data were presented at the 57th Annual Scientific Sessions of the American Heart Association, November 1984, Miami Beach, Florida.
- Received July 16, 1985.
- Revision received September 12, 1985.
- Accepted September 18, 1985.
- American College of Cardiology Foundation