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She presented with signs of tachycardia and hypotension suggestive of cardiac tamponade due to pericardial effusion, and pericardiocentesis was performed below the xiphoid process in the cardiology department. Serous fluid was aspirated, and malignancy was ruled out by various tests. The patient subsequently developed recurrent pericardial effusion and was admitted to the hospital. Cardiovascular surgery was performed for pericardial drainage. A left intercostal incision was made for pericardiotomy and drainage of the pericardial effusion, allowing it to accumulate in the left pleural cavity in case of future accumulation. Pathological examination of the pericardium revealed no specific findings, and no cancer cells were present in the pericardial fluid. Prednisolone therapy was initiated for idiopathic pericarditis.<\/jats:p>","DOI":"10.1093\/omcr\/omae139","type":"journal-article","created":{"date-parts":[[2024,11,25]],"date-time":"2024-11-25T11:18:17Z","timestamp":1732533497000},"source":"Crossref","is-referenced-by-count":1,"title":["Prevention of cardiac tamponade by left intercostal Pericardiotomy for massive recurrent pericardial effusion: a case report"],"prefix":"10.1093","volume":"2024","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8727-4212","authenticated-orcid":false,"given":"Tomohiro","family":"Nakajima","sequence":"first","affiliation":[{"name":"Sapporo Medical University School of Medicine Department of Cardiovascular Surgery, , Sapporo,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kei","family":"Mukawa","sequence":"additional","affiliation":[{"name":"Sapporo Medical University School of Medicine Department of Cardiovascular Surgery, , Sapporo,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hidemichi","family":"Kouzu","sequence":"additional","affiliation":[{"name":"Sapporo Medical University School of Medicine Department of Cardiovascular, Renal and Metabolic Medicine, , South-1, West-16, Chuo-ku, Sapporo 060-8543,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ayaka","family":"Kamada","sequence":"additional","affiliation":[{"name":"Sapporo Medical University School of Medicine Department of Cardiovascular, Renal and Metabolic Medicine, , South-1, West-16, Chuo-ku, Sapporo 060-8543,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nobuyoshi","family":"Kawaharada","sequence":"additional","affiliation":[{"name":"Sapporo Medical University School of Medicine Department of Cardiovascular Surgery, , 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