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EXPERIENCE OF SUCCESSFUL THORACOSCOPIC PERICARDECTOMY OF EXUDATIVE PERICARDITIS WITH COMPRESSION SYNDROME AND THE THREAT OF CARDIAC TAMPONADE

This scientific article describes the case of successful performance of a thoracoscopic pericardectomy in a 72-year-old patient about exudative pericarditis with compression syndrome and with the threat of cardiac tamponade. Pericarditis is an inflammation of the serous membrane of the heart. According to the form of clinical manifestations of pericarditis emit: acute, subacute and chronic. Depending on the nature of the inflammatory process, there are fibrinous and exudative pericarditis with the presence of serous, serous-fibrinous, purulent, fibrinous-purulent and hemorrhagic effusion. Patients with the threat and development of cardiac tamponade with purulent and constrictive pericarditis were shown surgical intervention. As a result, a thoracoscopic pericardectomy with a good clinical and cosmetic effect was performed. The clinical case is interesting using a minimally invasive technique. When a patient has exudative pericarditis, pericardectomy in the immediate postoperative period has led to good results, which was an effective method of treatment for this pathology. As a result, we concluded that the thoracoscopic pericardectomy method is an alternative to thoracotomy and sternotomy. The use of minimally invasive treatment of pericarditis can be a promising method and requires further study of long-term results.