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Disorders of the Pleura: Disorders of the Pleura |

Pleural Effusion of Cardiac Origin From the Histophatological Diagnosis to the Treatment

Massimiliano Sivori; Valentina Pinelli; Pier Aldo Canessa
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ASL 5 Spezzino, Sarzana, Italy


Copyright 2016, American College of Chest Physicians. All Rights Reserved.


Chest. 2016;150(4_S):561A. doi:10.1016/j.chest.2016.08.650
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Extract

SESSION TITLE: Disorders of the Pleura

SESSION TYPE: Original Investigation Poster

PRESENTED ON: Wednesday, October 26, 2016 at 01:30 PM - 02:30 PM

PURPOSE: PLEURAL EFFUSION DUE TO CONGESTIVE HEART FAILURE IS NOT ALWAYS A TRASUDATE,ALMOST 12% OF PATIENTS WITH CARDIAC DISEASE HAVE AN EXUDATIVE PLEURAL EFFUSION SERUM BNP>500 PG/ML HAS HIGH DIAGNOSTIC ACCURACY IN RECOGNIZING PLEURAL EFFUSION OF CARDIAC ORIGIN NEVERTHELESS IN SOME CASES ONLY MORE INVASIVE PROCEDURES SUCH AS MEDICAL THORACOSCOPY CAN MAKE A FINAL ETIOLOGICAL DIAGNOSIS;CARDIAC HEART FAILURE IS THE MOST COMMON CAUSE OF BENIGN PLEURAL EFFUSION AND THORACOSCOPIC OR CHEST TUBE PLEURODESIS ARE THE THERAPEUTIC OPTIONS IN PATIENTS REQUIRING FREQUENT DRAINAGE BUT THE ROLE OF CHEMICAL PLEURODESIS IN THE MANAGEMENT OF BENIGN, REFRACTORY PLEURAL EFFUSIONS IS NOT WELL ESTABLISHED. AIM: TO DESCRIBE ENDOSCOPIC AND HISTOPATHOLOGICAL FINDINGS IN PATIENTS WITH EVIDENCE OF CARDIAC DISEASE AND EXUDATIVE PLEURAL EFFUSION AND TO EVALUATE THE SUCCESS RATE OF TALC PLEURODESIS.

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