Effectiveness of Posterior Pericardiotomy After Valve Replacement

Erdil, Nevzat; Nisanoğlu, Vedat; Battaloğlu, Bektaş

doi:10.1111/j.1540-8191.2006.00316.x

Cited by 1 publication

(1 citation statement)

References 7 publications

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“…This technique is suggested in both CAS and valve surgery, but it is not routinely used [ 13 , 14 ]. What is more, PP is recommended by the American College of Chest Physicians Guidelines and by some authors as a preventive technique for postoperative atrial fibrillation [ 15 , 16 ].…”

Section: Discussionmentioning

confidence: 99%

CARDIAC SURGERY The effects of posterior pericardiotomy on pericardial effusion, tamponade, and atrial fibrillation after coronary artery surgery

Kaya

İyigün

Yazici

et al. 2014

kitp

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IntroductionPericardial effusion and atrial fibrillation occur commonly after coronary artery surgery.Aim of the studyA prospective randomized clinical trial was conducted to evaluate the effects of posterior pericardiotomy on the occurrence of pericardial effusion, tamponade, and atrial fibrillation.Material and methodsThe study group consisted of 96 patients (77 male and 19 female) at a mean age of 58.1 ± 9.8 years. The patients were randomly assigned to one of three study groups: patients undergoing posterior pericardiotomy (group I, n = 30), controls (group II, n = 33), and patients with additional posterior pericardial drainage tubes (28 mm) who did not undergo posterior pericardiotomy (group III, n = 33).ResultsPostoperative hospitalization (p = 0.03; 11.56 ± 10.64) and reoperation due to tamponade (p = 0.019; 12.1%) were significantly higher in group II. Extensive pericardial effusions were detected in one patient on the first postoperative day (group II, n = 1), in one patient on the fifth postoperative day (group III, n = 1), and in one patient on the 30th day after the operation (group III, n = 1). Pericardial effusion exhibited regression in group I on postoperative day 30 (p = 0.028). A higher rate of postoperative atrial fibrillation was noted in group I, but no significant differences were found between the groups with regard to postoperative atrial fibrillation.ConclusionsPatients who did not undergo posterior pericardiotomy or did not receive posterior chest tubes exhibited residual pericardial effusion, required longer hospitalization, and had to be reoperated due to tamponade. Both posterior pericardiotomy and the use of posterior tubes are effective in the early postoperative period.

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Section: Discussionmentioning

confidence: 99%