Document Detail


Postoperative pericardial effusion and posterior pericardiotomy: related?
MedLine Citation:
PMID:  19917788     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Large pericardial effusions develop in 30% of patients after cardiac surgery, and reach their maximum size after 10 days, with tamponade in 1%. The aim of this prospective randomized case-controlled study was to assess the effectiveness of a posterior pericardiotomy in preventing early and late (>30 days) development of pericardial effusion. Between April 2005 and May 2006, 410 patients with a mean age of 68.4 +/- 9.2 years undergoing coronary artery bypass grafting alone or combined with valve surgery were divided into 2 groups of 205 each. In the pericardiotomy group, a 4-cm longitudinal incision was made parallel and posterior to the phrenic nerve. Echocardiography was performed at discharge and 15 and 30 days after the operation. At 15 and 30 days postoperatively, 90.2% and 97% of patients in the pericardiotomy group were free of effusion; while none in the control group were free of effusion. A posterior pericardiotomy is easy to perform and seems to be a safe and effective means of preventing postoperative effusion and its adverse consequences.
Authors:
Ali Reza Bakhshandeh; Mehrdad Salehi; Hasan Radmehr; Roya Sattarzadeh; Ahmad Reza Nasr; Amir Hossein Sadeghpour
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  Asian cardiovascular & thoracic annals     Volume:  17     ISSN:  1816-5370     ISO Abbreviation:  Asian Cardiovasc Thorac Ann     Publication Date:  2009 Oct 
Date Detail:
Created Date:  2009-11-17     Completed Date:  2010-01-26     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9503417     Medline TA:  Asian Cardiovasc Thorac Ann     Country:  Singapore    
Other Details:
Languages:  eng     Pagination:  477-9     Citation Subset:  IM    
Affiliation:
Department of Cardiovascular Surgery, Imam Tehran University Hospital, Tehran, Iran. abakhshandeh18@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Aged
Case-Control Studies
Coronary Artery Bypass / adverse effects*
Female
Heart Valve Prosthesis Implantation / adverse effects*
Humans
Male
Middle Aged
Pericardial Effusion / etiology,  prevention & control*,  ultrasonography
Pericardiectomy*
Prospective Studies
Time Factors
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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