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Effect of posterior pericardiotomy on early and late pericardial effusion after valve replacement

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dc.contributor.author Nisanoğlu, Vedat
dc.contributor.author Erdil, Nevzat
dc.contributor.author Battaloğlu, Bektaş
dc.contributor.author Koşar, Feridun
dc.contributor.author Erdil, Feray Akgül
dc.contributor.author Cihan, H. Berat
dc.date.accessioned 2017-10-26T11:00:58Z
dc.date.available 2017-10-26T11:00:58Z
dc.date.issued 2005
dc.identifier.citation Erdil N., Nisanoglu V., Kosar F., Erdil Feray A., Cihan Hasan B., Battaloglu B. (2005). Effect of posterior pericardiotomy on early and late pericardial effusion after valve replacement. (J Card Surg 2005;20:257-260 tr_TR
dc.identifier.uri http://onlinelibrary.wiley.com/doi/10.1111/j.1540-8191.2005.200375.x/epdf
dc.identifier.uri http://hdl.handle.net/11616/7786
dc.description (J Card Surg 2005;20:257-260) tr_TR
dc.description.abstract Pericardial effusion (PE) after cardiac surgery is frequent. It is more frequently seenafter valve replacement or other types of heart surgery. Oral anticoagulants and antiplatelet agents mayinduce effusion development after open heart surgery. Our objective was to determine the efficiency ofposterior pericardiotomy (PP) after cardiac valve operation for reducing the incidence of early and late PEand tamponade.Methods: This prospective randomized study was carried out in 100 consecutive patientsundergoing mechanical valve replacement between August 2001 and May 2003 in our institution. Patientswere divided into two groups; each group consisted of 50 patients. Longitudinal incision was made paralleland posterior to the left phrenic nerve, extending from the left inferior pulmonary vein to the diaphragm inGroup 1. Posterior pericardiotomy was not done in Group 2.Results: Early PE was detected in four patients(8%) and in 19 patients (38%) in Group 1 and Group 2, respectively (p < 0.001). No late PE effusion wasdeveloped in Group 1 despite nine (18%) late PE developing in Group 2 (p < 0.003). The rate of delayedpericardial tamponade was lower in Group 1, but this difference was not statistically significant (0% vs 10%;p < 0.056).Conclusion: These findings suggest that PP is an easy, feasible, and beneficial technique forreducing both the occurrence of early and late PE or pericardial tamponade in patients undergoing valvereplacement. tr_TR
dc.language.iso eng tr_TR
dc.publisher Journal of Cardiac Surgery tr_TR
dc.relation.isversionof 10.1111/j.1540-8191.2005.200375.x tr_TR
dc.rights info:eu-repo/semantics/openAccess tr_TR
dc.subject Cardiopulmonary Bypass tr_TR
dc.title Effect of posterior pericardiotomy on early and late pericardial effusion after valve replacement tr_TR
dc.type article tr_TR
dc.relation.journal Journal of Cardiac Surgery tr_TR
dc.contributor.department İnönü Üniversitesi tr_TR
dc.contributor.authorID 8752 tr_TR
dc.contributor.authorID 223334 tr_TR
dc.contributor.authorID 9608 tr_TR
dc.identifier.volume 20 tr_TR
dc.identifier.issue 0 tr_TR
dc.identifier.startpage 257 tr_TR
dc.identifier.endpage 260 tr_TR

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