Pericardial Window for Methicillin-Resistant Staphylococcus Aureus Pericarditis.

Pericardial Window for Methicillin-Resistant Staphylococcus Aureus Pericarditis.
Ann Thorac Surg. 2018 Jun 19;:
Authors: Oizumi H, Ichinokawa H, Hoshino H, Shitara J, Suzuki K
Abstract
A 58-year-old man presented with tamponade, and he underwent an emergency pericardiocentesis. We made the diagnosis of methicillin-resistant Staphylococcus aureus (MRSA) pericarditis based on culture results, and treated the patient with pericardial drainage and antibiotics as the first-line therapy. After temporary relief, reaccumulation of effusion developed. We successfully created a pericardial window using thoracotomy, and the postoperative course was uneventful. MRSA pericarditis is an extremely rare and life-threatening illness. No consensus exists concerning the ideal surgical intervention. Creating a pericardial window using thoracotomy can be an effective definitive therapy for MRSA pericarditis, especially for patients with significant pericardial adhesions.
PMID: 29932888 [PubMed - as supplied by publisher]

Source: The Annals of Thoracic Surgery - June 19, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Oizumi H, Ichinokawa H, Hoshino H, Shitara J, Suzuki K Tags: Ann Thorac Surg Source Type: research