| The use of posterior pericardiotomy technique to prevent postoperative pericardial effusion in cardiac surgery. | |
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MedLine Citation:
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PMID: 22543342 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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Aim: The goal was to determine the effectiveness of the posterior pericardiotomy technique in preventing the development of early and late pericardial effusions (PEs) and to determine the role of anxiety level for the detection of late pericardial tamponade (PT).Materials and Methods: We divided 100 patients randomly into 2 groups, the posterior pericardiotomy group (n = 50) and the control group (n = 50). All patients undergoing coronary artery bypass grafting surgery (CABG), valvular heart surgery, or combined valvular and CABG surgeries were included. The posterior pericardiotomy technique was performed in the first group of 50 patients. Evaluations completed preoperatively, postoperatively on day 1, before discharge, and on postoperative days 5 and 30 included electrocardiographic study, chest radiography, echocardiographic study, and evaluation of the patient's anxiety level. Postoperative causes of morbidity and durations of intensive care unit and hospital stays were recorded.Results: The 2 groups were not significantly different with respect to demographic and operative data (P > .05). Echocardiography evaluations revealed no significant differences between the groups preoperatively; however, before discharge the control group had a significantly higher number of patients with moderate, large, and very large PEs compared with the pericardiotomy group (P < .01). There were 6 cases of late PT in the control group, whereas there were none in the pericardiotomy group (P < .05). Before discharge and on postoperative day 15, the patients in the pericardiotomy group showed significant improvement in anxiety levels (P = .03 and .004, respectively). No differences in postoperative complications were observed between the 2 groups.Conclusion: Pericardiotomy is a simple, safe, and effective method for reducing the incidence of PE and late PT after cardiac surgery. It also has the potential to provide a better quality of life. |
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Authors:
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Canturk Cakalagaoglu; Cengiz Koksal; Ayse Baysal; Gokhan Alıcı; Birol Ozkan; Kamil Boyacioglu; Mehmet Tasar; Emine Banu Atasoy; Hasan Erdem; Ali Metin Esen; Mete Alp |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The heart surgery forum Volume: 15 ISSN: 1522-6662 ISO Abbreviation: Heart Surg Forum Publication Date: 2012 Apr |
Date Detail:
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Created Date: 2012-04-30 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100891112 Medline TA: Heart Surg Forum Country: United States |
Other Details:
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Languages: eng Pagination: E84-9 Citation Subset: IM |
Affiliation:
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Cardiovascular Surgery Clinic, Kartal Kosuyolu Training and Research Hospital, Istanbul, Turkey. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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