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Pericardial Window Through Left Antero Lateral Thoracotomy :  A small left antero lateral thoracotomy is done through the 5"' intercostal space. A pericardial window is made anterior to the phrenic nerve by exicising a piece of pericardium. This effectively makes a pleuro pericardial window. The chest is closed with a drain in the pleura that will drain the pericardial fluid also.

 

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