• Journal of Chest Surgery
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• 제35권4호
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• pp.307-310
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• 2002

교액성심낭염(constrictive pericarditis) 환자에서 심낭절제술(pericardiectomy)을 시행했음에도 불구하고 호전되지 않을 때 일반적으로 불완전 심낭절제술(Incomplete parietal pericardiectomy), 심근섬유위축(myocardial fiber atrophy), 제한성심근병증(unexpected restrictive cardiomyopathy) 등을 생각해볼 수 있다. 그리고 교액성심 장외막염(constrictive epicarditis)의 가능성도 생각해야한다. 본원에서는 심낭삼출액(pericardial effusion)을 동반한 교액성심낭염 환자에서 심낭절제술을 시행한 후 수술 후에도 인상적으로 임상적, 혈동학적으로 호전이 없는 교액성심장외막염 환자를 접하고 2차적으로 수술(Waffle procedure)을 시행하여 좋은 결과를 얻었기에 보고하고자한다.

• Journal of Yeungnam Medical Science
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• 제3권1호
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• pp.301-306
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• 1986

저자들은 1986년 7월 2일 본 영남대학교 의과대학 부속 병원 내과에 입원한 혈액성 심낭 삼출액및 심막 비후 환자에서 심낭 개창술시 심막 조직 검사상 심막 악성 중피종으로 진단되고 급격한 임상 경과를 보이고 사망한 예를 경험하였다.

• 대한수의사회지
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• 제44권9호
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• pp.824-830
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• 2008

• Tuberculosis and Respiratory Diseases
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• 제47권3호
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• pp.400-405
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• 1999

저자들은 간헐적으로 객혈을 하였던 18세 여자 환자에서 종격동 기형종의 자연파열에 의해 발현될 수 있는 심낭삼출 및 흉막삼출, 폐렴, 객혈 등의 소견이 동시에 발현된 증례를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

• Journal of Chest Surgery
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• 제57권2호
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• pp.169-177
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• 2024

Background: Pericardial effusion (PE) is a serious condition in cancer patients, primarily arising from malignant dissemination. Pericardial window formation is a surgical intervention for refractory PE. However, the long-term outcomes and factors associated with postoperative survival remain unclear. Methods: We retrospectively analyzed data from 166 oncology patients who underwent pericardial window formation at Samsung Medical Center between 2011 and 2023. We analyzed survival and PE recurrence regarding surgical approach, cancer type, and cytopathological findings. To identify factors associated with survival, we utilized Cox proportional-hazards regression. Results: All patients had tumors documented in accordance with the American Joint Committee on Cancer staging manual, including lung (61.4%), breast (9.6%), gastrointestinal (9.0%), hematologic (3.6%), and other cancers (16.4%). Surgical approaches included mini-thoracotomy (67.5%) and thoracoscopy (32.5%). Postsurgical cytopathology confirmed malignancy in 94 cases (56.6%). Over a median follow-up duration of 50.0 months, 142 deaths and 16 PE recurrences occurred. The 1-year overall and PE recurrence-free survival rates were 31.4% and 28.6%, respectively. One-year survival rates were significantly higher for thoracoscopy recipients (43.7% vs. 25.6%, p=0.031) and patients with negative cytopathology results (45.1% vs. 20.6%, p<0.001). No significant survival difference was observed between lung cancer and other types (p=0.129). Multivariate analysis identified New York Heart Association class, cancer stage, and cytopathology as independent prognostic factors. Conclusion: This series is the largest to date concerning window formation among cancer patients with PE. Patients' long-term survival after surgery was generally unfavorable. However, cases with negative cytopathology or earlier tumor stage demonstrated comparatively high survival rates.

• Journal of Chest Surgery
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• 제15권1호
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• pp.118-123
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• 1982

Fourteen cases of pericardia I tumor were clinically experienced from June 1966 to July 1981, for 15 years in St. Mary's Hospital, Department of Thoracic and Cardiovascular Surgery, Catholic Medical College. There were three primary tumors of the pericardium, liposarcoma, teratoma and malignant mesothelioma, and 11 metastatic pericardial tumors. In metastatic pericardial tumors, eight were originated from the lung, one was breast, and the other two cases were unknown origin. There were 6 adenocarcinoma, one small cell carcionoma ~nd one alveolar cell carcinoma in 8 cases from the lung, and 5 male and 3 female patients were composed the metastatic pericardial cancer from the lung. In clinical symptoms were dyspnea in all cases, and 9 cases had the generalized edema and enlarged liver size. Six patients had been operated, three of the primary pericardial tumor and three of metastatic pericardial tumor. Two of the primary tumors were cured satisfactorily by the mass removal, but one died due to cardiac arrest at postoperative one day. In metastatic tumors, operation were performed as two pericardial window formation and one left lower lobectomy with pericardial fenestration, but one was died in second operative day. Other nine metastatic tumors were diagnosed by needle biopsy in one case and by cell block of effusion in eight cases.

• Pediatric Infection and Vaccine
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• 제4권1호
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• pp.155-159
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• 1997

We had experienced a case of pericarditis associated with Mycoplasma and Salmonella co-infection. This 5-year old boy presented with high fever and generalized tonic-clonic seizure. The diagnosis was based on the markedly increased serial titer of Widal test and cold agglutinin with Mycoplasma indirect hemmagglution test during hospitalization. The electrocardiogram revealed P-R interval prolongation and an echocardiogram revealed moderate pericardial effusion. The patient treated with ceftriaxone and erythromycin for 2 weeks, and responded to the treatment well. We report this case with brief review of the related literatures.

• Journal of Chest Surgery
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• 제17권2호
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• pp.257-262
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• 1984

Acute purulent pericarditis, though not common in incidence after introduction of antibiotics, is still potentially life treating isease. Since 1971, we have experienced 14 cases of acute purulent pericarditis with successful treatment. Among these 14 cases, 9 cases were male and they had high occurrence on their third to fifth decades in age distribution. Isolation of causative organisms were obtained in 11 cases through the bacterial culture of infectious source which was mainly pericardial effusion or blood, and the most frequently recovered organism was the staphylococcus aureus. Pre-existing inflammatory disease preceding to pericarditis, named as antecedent disease, were proved in 12 cases, and among which contiguous extension from the intrathoracic infection such as pneumonia or empyema accounted for the majority of antecedent disease. Pericardiocentesis with administration of antibiotics were tried in all cases, but result in recovery in 1 patient only. Remaining 13 cases had persistent picture of pericarditis and necessitated surgical drainage procedure. Ten of these 13 cases were underwent the open pericardial window using a mode of anterior approach in 4 and subxiphoid approach in 6 cases respectively. Two cases of subxiphoid group were reoperated by the anterior interphrenic pericardiectomy, due to insufficient drain of too thick effusion. In remaining 3 cases, anterior interphrenic pericardiectomy was performed initially because of purulent effusion already changed into fibrinopurulent peel with thickened pericardium. Through the experience of this series, we recommended that pericardiectomy should not be reluctant in purulent pericarditis as a initial surgical procedure for advantage of complete removal of infected space and avoidance of late constrictive pericarditis.

• Pediatric Infection and Vaccine
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• 제11권2호
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• pp.202-207
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• 2004

A군 연구균 감염으로 인한 폐렴이나 기관지염등 하기도의 감염은 흔하지 않은 것으로 되어 있다. 그러나 일단 발생할 경우에는 심한 경과와 함께 폐농양이나 심장염을 포함해 다양한 염증성 합병증을 동반하며 빠르게 진행한다. 본 저자들은 A군 연구균 감염에 의한 농양성 폐렴을 항생제와 흉강 삽관술로 치료하였고, 연속적으로 발현된 심외막염에 의한 심막삼출을 이뇨제로 치료하여 증상호전을 보인 여자 환아 1례를 경험하였기에 보고하는 바이다.

• 한국임상수의학회지
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• 제31권5호
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• pp.407-411
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• 2014

12살령 중성화 수컷 페키니즈 개가 허약, 운동불내성과 2주전부터 시작한 기침을 주증으로 내원하였다. 신체검사에서 좌측 수축기성 심잡음(grade II/VI) 이 확인되었고, 심장초음파 검사에서 심낭수와 좌심방 주변 심기저부에 종괴가 관찰되었다. 심낭수천자 후에는 흉부방사선 상에서도 좌심방 옆으로 종괴가 확인되었다. 사후 부검을 통한 조직학적 검사 및 면역조직화학 염색을 통해 대동맥체 종양으로 진단되었다. 본 환축은 진단 후 내과적 치료만을 받았으며, 심낭수의 재발 없이 234일을 생존하였다.