Pericardial effusion historical perspective

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Abdelrahman Ibrahim Abushouk, MD[2]

Overview

There is limited information about the historical perspective of pericardial effusion. However, percutaneous pericardiocentesis was first described in 1840 by Frank Schuh. By the 20th century, pericardiocentesis became the established technique for diagnosing and treating pericardial effusion. Before echocardiography, surgeons used a blind-subxiphoid approach; however, this was associated with serious organ injuries. However, the introduction of echo-guided pericardiocentesis improved the accuracy and safety of the procedure. The technique has been further refined over the past four decades.

Historical Perspective

Figure 1. Franz Schuh (1804-1865) who in 1840 introduced blind pericardiocentesis. (Credit: Kilpatrick and Chapman 1965)


References

  1. Kilpatrick ZM, Chapman CB (1965). "On pericardiocentesis". Am J Cardiol. 16 (5): 722–8. doi:10.1016/0002-9149(65)90057-3. PMID 5319921.