Peritoneopericardial communication after aortic valve replacement in a peritoneal dialysis patient

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• 作者：Satoshi Morimoto (1) (2)
  Chikara Nakano (1)
  Kazunori Someya (1)
  Mitsutaka Nakahigashi (1)
  Hiroko Ueda (1)
  Makiko Kusabe (1)
  Tatsuyori Morita (1)
  Atsuhiro Ichihara (2)
  Toshiji Iwasaka (1)
  
• 关键词：Cardiotomy ; Aortic stenosis ; Hemodialysis ; Pericardium ; Diaphragm
• 刊名：CEN Case Reports
• 出版年：2014
• 出版时间：November 2014
• 年：2014
• 卷：3
• 期：2
• 页码：223-225
• 全文大小：362 KB
• 参考文献：1. Senecal L, Cailhier JF, Chartrand-Lefebvre C, Picard M, Roy L. Peritoneal and pericardial communication after cardiac surgery with delayed clinical manifestations. Perit Dial Int. 2002;22(4):515-.
  
• 作者单位：Satoshi Morimoto (1) (2)
  Chikara Nakano (1)
  Kazunori Someya (1)
  Mitsutaka Nakahigashi (1)
  Hiroko Ueda (1)
  Makiko Kusabe (1)
  Tatsuyori Morita (1)
  Atsuhiro Ichihara (2)
  Toshiji Iwasaka (1)
  
  1. Second Department of Internal Medicine, Kansai Medical University, Moriguchi, Japan
  2. Department of Medicine II, Tokyo Women’s Medical University, 8-1 Kawada-cho, Shinjuku-ku, Tokyo, 162-8666, Japan
  
• ISSN：2192-4449

文摘

A 73-year-old male undergoing peritoneal dialysis (PD) for end-stage renal disease due to diabetic nephropathy was diagnosed with aortic stenosis and was admitted to our hospital in September, 2009. The patient underwent replacement of the ascending aorta with an artificial blood vessel plus aortic valve replacement without any notable complications. PD was restarted 3?days after the surgery and large amounts of light red fluid from the drain placed in the pericardium were observed just after resumption of PD solution. The patient was diagnosed with peritoneopericardial communication. PD was discontinued and hemodialysis was performed only with intermittent lavage of the peritoneal cavity. The amount of drainage was spontaneously decreased, and on the 17th day after surgery, PD was resumed. The patient is undergoing PD without recurrence of peritoneopericardial communication, 59?months after the onset of symptoms. Peritoneopericardial communication in a patient with PD developing after open-heart surgery is rare because such a case has been documented in only one case report. However, since massive pericardial effusion may cause severe cardiac problems, we consider that the communication between the peritoneal cavity and the pericardium needs to be checked for in patients with PD after cardiac surgery.