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Francisco Romero was a spanish physician who became the first heart surgeon by performing an open pericardiostomy to treat a pericardial effusion in 1801.
Transcutaneous balloon pericardiostomy is another technique that is less invasive than open surgical approaches, which include subxiphoid pericardial windows, thoracotomy with pericardiopleural window formation,[44] and thoracotomy with pericardectomy.
BALLOON PERICARDIOSTOMY A catheter with a balloon tip is inserted through the chest and into the pericardium.