très fin de décollement

English translation: separation of pericardial layers

GLOSSARY ENTRY (DERIVED FROM QUESTION BELOW)
French term or phrase:décollement péricardique
English translation:separation of pericardial layers
Entered by: Dr Sue Levy (X)

21:46 Aug 22, 2007
French to English translations [PRO]
Medical - Medical: Cardiology / Patient medical notes
French term or phrase: très fin de décollement
Help would be really appreciated with this term. I am afraid I am unsure of what this means.

This comes from medical notes for a patient suffering from pericardial effusion. I hope that the following gives enough context:

Nous avons alors réalisé une ponction à l'aiguille par la voie épigastrique qui a permis de retirer 300 ml d'un liquide séro-sanglant.
Ce liquide est exsudatif (protéinesà 69 g par litre) et stérile (l'examen direct et culture négative).
L'analyse anatomopathologique ne retrouve pas de cellule maligne.
Le drainage péricardique a permis de lever la douleur thoracique et d'améliorer les conditions de remplissage.
Nous avons mis également ce patient sous Ketoprofène 300 mg par jour.
Le contrôle échographique, 48 heures plus tard, montre un ***très fin de décollement*** de l'ordre du millimètre circonférenciel, sans aucune anomalie cardiaque par ailleurs.

Thank you in advance for your time, it is much appreciated.
Zaharanda
Local time: 15:59
very slight (area of) separation
Explanation:
http://besancon-cardio.org/cours/44-pericard.php

3.2 - L'échographie permet aussi d'apprécier d'une façon semi-quantitative l'importance de cet épanchement liquidien. Physiologiquement, il existe un décollement virtuel des deux feuillets péricardiques en systole, (ce décollement correspond au liquide intra-péricardique physiologique).

L'épanchement est dit mineur lorsque le décollement péricardique est inférieur à 1 cm.

L'épanchement est dit de moyenne abondance lorsque le décollement est compris entre 1 et 2 cm d'épaisseur.

Enfin l'épanchement est considéré comme très volumineux lorsque le décollement est supérieur à 2 cm d'épaisseur. Ces épanchements sont rarement bien tolérés. Il peut exister à ce stade des signes de compression des cavités droites.
Dans certains cas, l'aspect du coeur est très particulier, hyperkinétique semblant flotter au sein de cet épanchement liquidien majeur, réalisant l'aspect de "Swinging heart".

http://www.echoincontext.com/int2/skillI2_10.asp

Pericardial Effusion

One of the applications that first brought echocardiography to the general attention of clinicians was its unique ability to detect pericardial effusion. It remains the most sensitive technique for the detection of this disorder.

Around the heart there exists a potential cavity between the visceral and parietal layers of the serous pericardium, into which the heart is invaginated during its development. There is normally a little fluid in this cavity that acts as a lubricant for heart movement, but the two layers of the serous pericardium essentially remain in contact. However, if the amount of fluid increases as a result of exudate from the pericardium, hemorrhage or the inadvertent infusion of fluid, the two layers become more widely separated.




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Note added at 9 hrs (2007-08-23 07:26:58 GMT)
--------------------------------------------------

very slight separation of the pericardial layers
very small (minimal) area of separation
Selected response from:

Dr Sue Levy (X)
Local time: 16:59
Grading comment
Thank you for providing so much reference. Both suggestions made perfect sense but I think this one was the most fitting here. Thanks to all for your time and help.
4 KudoZ points were awarded for this answer



Summary of answers provided
4 +1very slight (area of) separation
Dr Sue Levy (X)
3un espace trés fin de.. a very thin pericardial space between the heart and its pericardiu
Drmanu49


Discussion entries: 3





  

Answers


48 mins   confidence: Answerer confidence 3/5Answerer confidence 3/5
un espace trés fin de.. a very thin pericardial space between the heart and its pericardiu


Explanation:
(c) accessing a pericardial space between the heart and its pericardium with said ..... For example, a very thin catheter could be used for drug infusion. ...
www.freepatentsonline.com/5269326.html - 48k -

A method for accessing a pericardial space of a heart of a mammalian patient is ... The serous layer is thin and is adjacent to the surface of the heart. ...
www.freepatentsonline.com/20060173441.html - 34k

Drmanu49
France
Local time: 16:59
Specializes in field
Native speaker of: Native in EnglishEnglish, Native in FrenchFrench
PRO pts in category: 579
Login to enter a peer comment (or grade)

9 hrs   confidence: Answerer confidence 4/5Answerer confidence 4/5 peer agreement (net): +1
très fin décollement
very slight (area of) separation


Explanation:
http://besancon-cardio.org/cours/44-pericard.php

3.2 - L'échographie permet aussi d'apprécier d'une façon semi-quantitative l'importance de cet épanchement liquidien. Physiologiquement, il existe un décollement virtuel des deux feuillets péricardiques en systole, (ce décollement correspond au liquide intra-péricardique physiologique).

L'épanchement est dit mineur lorsque le décollement péricardique est inférieur à 1 cm.

L'épanchement est dit de moyenne abondance lorsque le décollement est compris entre 1 et 2 cm d'épaisseur.

Enfin l'épanchement est considéré comme très volumineux lorsque le décollement est supérieur à 2 cm d'épaisseur. Ces épanchements sont rarement bien tolérés. Il peut exister à ce stade des signes de compression des cavités droites.
Dans certains cas, l'aspect du coeur est très particulier, hyperkinétique semblant flotter au sein de cet épanchement liquidien majeur, réalisant l'aspect de "Swinging heart".

http://www.echoincontext.com/int2/skillI2_10.asp

Pericardial Effusion

One of the applications that first brought echocardiography to the general attention of clinicians was its unique ability to detect pericardial effusion. It remains the most sensitive technique for the detection of this disorder.

Around the heart there exists a potential cavity between the visceral and parietal layers of the serous pericardium, into which the heart is invaginated during its development. There is normally a little fluid in this cavity that acts as a lubricant for heart movement, but the two layers of the serous pericardium essentially remain in contact. However, if the amount of fluid increases as a result of exudate from the pericardium, hemorrhage or the inadvertent infusion of fluid, the two layers become more widely separated.




--------------------------------------------------
Note added at 9 hrs (2007-08-23 07:26:58 GMT)
--------------------------------------------------

very slight separation of the pericardial layers
very small (minimal) area of separation

Dr Sue Levy (X)
Local time: 16:59
Specializes in field
Native speaker of: Native in EnglishEnglish
PRO pts in category: 77
Grading comment
Thank you for providing so much reference. Both suggestions made perfect sense but I think this one was the most fitting here. Thanks to all for your time and help.

Peer comments on this answer (and responses from the answerer)
agree  Michael Barnett
7 hrs
  -> hi Michael! thanks :-)
Login to enter a peer comment (or grade)



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