Our Summary

This research paper discusses a case of a dog with an aggressive type of cancer called mesothelioma. This cancer often leads to a condition where fluid accumulates around the heart (pericardial effusion), which can be life-threatening. To treat this, the dog underwent two surgeries: one to remove the lining of the heart where the fluid was accumulating (pericardiectomy), and another to implant a catheter to drain any future build-up of fluid. The authors claim this is the first time a fully implantable catheter has been used in this way, and they believe it improved the dog’s quality of life.

FAQs

  1. What is mesothelioma and how does it affect dogs?
  2. What is a pericardiectomy and why was it performed on the dog in this case?
  3. What is the significance of the fully implantable catheter used in this case and how did it improve the dog’s quality of life?

Doctor’s Tip

One helpful tip a doctor might tell a patient about pericardiectomy is to follow all post-operative care instructions carefully. This may include taking prescribed medications, attending follow-up appointments, and avoiding strenuous activities until cleared by the doctor. It is also important to monitor for any signs of infection or complications and to seek medical attention if any concerning symptoms arise. By following these instructions, patients can help ensure a successful recovery from pericardiectomy.

Suitable For

Pericardiectomy is typically recommended for patients with pericardial effusion, which can be caused by various conditions such as cancer, infections, autoimmune diseases, or trauma. Patients who do not respond to other treatments such as medications or drainage procedures may also be recommended for pericardiectomy. Additionally, patients with recurrent pericardial effusion or those who are experiencing symptoms such as chest pain, shortness of breath, or heart failure may benefit from this surgical procedure. It is important for patients to be evaluated by a cardiologist or a cardiothoracic surgeon to determine if pericardiectomy is the appropriate treatment option for their specific condition.

Timeline

Before Pericardiectomy:

  • The patient experiences symptoms of pericardial effusion, such as chest pain, shortness of breath, and fatigue.
  • Diagnostic tests, such as echocardiograms and CT scans, are performed to confirm the presence of pericardial effusion and determine the extent of the fluid buildup.
  • The patient undergoes a pericardiocentesis, a procedure to drain the fluid around the heart and provide temporary relief of symptoms.
  • After pericardiocentesis, the patient may experience some improvement in symptoms, but the fluid may continue to accumulate, requiring further intervention.

After Pericardiectomy:

  • The patient undergoes pericardiectomy surgery to remove the pericardial lining and prevent further fluid accumulation around the heart.
  • The patient is monitored closely in the post-operative period for any complications, such as bleeding or infection.
  • The patient may experience initial discomfort and pain at the surgical site, but this should improve over time.
  • With successful pericardiectomy, the patient should experience relief of symptoms related to pericardial effusion, such as improved breathing and increased energy levels.
  • In some cases, a catheter may be implanted to drain any future fluid build-up, providing ongoing management of pericardial effusion and improving the patient’s quality of life.

Overall, pericardiectomy is a surgical procedure that can significantly improve the symptoms and prognosis of patients with pericardial effusion, allowing them to live a better quality of life after treatment.

What to Ask Your Doctor

  1. What is a pericardiectomy and why is it necessary for my condition?
  2. What are the potential risks and complications associated with a pericardiectomy surgery?
  3. How long is the recovery period after a pericardiectomy surgery?
  4. Will I need any additional treatments or medications after the surgery?
  5. How will the pericardiectomy surgery affect my overall heart function?
  6. Are there any lifestyle changes I should make after the surgery to support my recovery?
  7. What follow-up appointments or tests will be necessary to monitor my condition after the surgery?
  8. Are there any alternative treatments or procedures that could be considered instead of a pericardiectomy?
  9. How successful is a pericardiectomy in treating pericardial effusion in the long term?
  10. Are there any resources or support groups available for patients who have undergone a pericardiectomy surgery?

Reference

Authors: Hartmann HF, DE Oliveira MT, Feranti JPS, Coradini GP, Abati SL, Pierezan BZ, Sarturi VZ, Linhares MT, Silva ÁJC, Sánchez-Margallo FM, DO Amaral AS, Brun MV. Journal: J Vet Med Sci. 2019 Jun 28;81(6):946-948. doi: 10.1292/jvms.17-0631. Epub 2019 Apr 17. PMID: 30996203