Subxiphoid Pericardial Window in Patients with Suspected Traumatic Pericardial Tamponade

摘要: The technique, indications, and results of subxiphoid pericardial window in penetrating chest wounds with suspected traumatic tamponade are reported. classic signs (elevated central venous pressure, muffled heart sounds, paradoxical pulse) unreliable an emergency situation. Chest roentgenograms electrocardiograms little diagnostic value. Pericardicentesis was either falsely positive or negative 50% our patients. Therefore, unexplained high pressure hypotension were considered to be until disproved by the a window. There 4 46 findings 50 consecutive patients who underwent creation no deaths complications from procedures. early use has been major factor reducing mortality rate 12% overall, 8% past three years.