Pericardial effusion historical perspective

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Roukoz A. Karam, M.D.[2]

Overview

There is limited information about the historical perspective of pericardial effusion.

Historical Perspective

• There is limited information about the historical perspective of pericardial effusion.

• However, Frank Schuh first described percutaneous pericardiocentesis in 1840.
• By the 20th century, pericadiocentesis became a preferred technique for the diagnosis and treatment of pericardial effusion.

• Before the advent of 2-dimensional echocardiography, the procedure used a blind-subxiphoid approach. Serious complications were not uncommon (eg, injury to liver, myocardium, coronary arteries, lungs).
• Since 1979, echo-guided pericardiocentesis has been the preferred initial procedure for the diagnosis and treatment of most pericardial effusions.
• The technique has been modified and refined in the past 22 years.