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Last updated: 02/17/2009
Normal pericardial fluid is clear to straw colored. During pathological examination normal pericardial fluid does not contain blood, cancer cells, or bacteria. In most individuals, a small amount of fluid (10–50 ml) is in the pericardial sac to cushion...
the heart. Pericardial fluid volumes over 50 ml suggest pericardial effusion. The presence of microorganisms (such as Staphylococcus aureus) in aspirated pericardial fluid indicates bacterial pericarditis. Blood in pericardial fluid can be seen in patients with cancer; cardiac rupture, which can occur with myocardial infarction; or hemorrhage due to traumatic injury or accident.
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In medicine, pericardiocentesis is a procedure where fluid is aspirated from the pericardium (the sac enveloping the heart).
It is generally done under ultrasound guidance, to minimize complications. There are two locations that pericardiocentesis can be performed without puncturing the lungs.
One location is through the 5th or 6th intercostal space at the left sternal border at the cardiac notch of the left lung.
The other location is through the infrasternal angle.
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How many open-heart surgeries are performed each year? In 2005 in the United States, these procedures were performed: Valve replacements 106,000 Bypass (cardiac revascularization) 469,000 Heart transplants (performed in 2006) 2,192 Total open-heart procedures 699,000.
From: American Heart Association
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