혈액투석 환자의 심낭삼출의 치료에 시도한 흉강경을 이용한 심낭막 개창술

Abstract

저자들은 투석에 반응하지 않는 요독성 심낭삼출에 대해서 진단 및 치료 목적으로 직경 2~3 mm 미세흉강경을 이용해 심낭흉막개창술을 시술한 후 42개월 추적관찰 동안 심낭삼출의 재발 및 시술에 따른 합병증 없이 없었고, 외관상 흉터가 거의 남지 않는 장점을 경험하여 보고하는 바이다.

With the advent of 2- and 3-mm endoscopic instruments, a thoracoscopic pericardiectomy can be performed with relative ease and with almost no postoperative scar. We report a case of a 40-year-old woman with end-stage renal disease who had a large volume of pericardial effusion that did not abate after repeated dialysis. A pericardial window was performed by needlescopy for diagnostic and therapeutic reasons, and her postoperative scar was minimal. Her postoperative course was uneventful, and she has had no complications or recurrence of pericardial or pleural effusion.