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J Am Coll Cardiol, 1986; 7:432-434
© 1986 by the American College of Cardiology Foundation
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Flexible fiberoptic pericardioscopy for the diagnosis of pericardial disease

GT Kondos, S Rich, and S Levitsky

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.


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Copyright © 1986 by the American College of Cardiology Foundation.