this study compare two surgical techniues at the same time two methods of anathesia with assisstance of thoracoscope for cases of repeated collection of fluid in pericardial sac and observation the result of the two techniques on the operated patients from 3 to 6 months
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recurrence of pericardial effusion
Timeframe: follow up each month at out patient clinic for 6 months from the date of surgery
Awake anasethia
Timeframe: from the start till the end of the procedure about 45 min