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

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dc.authoridErdil, Feray Akgül/0000-0002-7544-3717
dc.authoridErdil, Nevzat/0000-0002-8275-840X
dc.authorwosidErdil, Feray Akgül/ABI-2474-2020
dc.authorwosidBattaloglu, Bektas/ABI-6211-2020
dc.authorwosidErdil, Nevzat/K-8079-2019
dc.contributor.authorErdil, N
dc.contributor.authorNisanoglu, V
dc.contributor.authorKosar, F
dc.contributor.authorErdil, FA
dc.contributor.authorCihan, HB
dc.contributor.authorBattaloglu, B
dc.date.accessioned2024-08-04T20:14:44Z
dc.date.available2024-08-04T20:14:44Z
dc.date.issued2005
dc.departmentİnönü Üniversitesien_US
dc.description13th World Congress of the International-Society-of-Cardio-Thoracic-Surgeons -- NOV 03, 2003 -- San Diego, CAen_US
dc.description.abstractObjective: Pericardial effusion (PE) after cardiac surgery is frequent. It is more frequently seen after valve replacement or other types of heart surgery. Oral anticoagulants and antiplatelet agents may induce effusion development after open heart surgery. Our objective was to determine the efficiency of posterior pericardiotomy (PP) after cardiac valve operation for reducing the incidence of early and late PE and tamponade. Methods: This prospective randomized study was carried out in 100 consecutive patients undergoing mechanical valve replacement between August 2001 and May 2003 in our institution. Patients were divided into two groups; each group consisted of 50 patients. Longitudinal incision was made parallel and posterior to the left phrenic nerve, extending from the left inferior pulmonary vein to the diaphragm in Group 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 was developed in Group 1 despite nine (18%) late PE developing in Group 2 (p < 0.003). The rate of delayed pericardial 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 for reducing both the occurrence of early and late PE or pericardial tamponade in patients undergoing valve replacement.en_US
dc.description.sponsorshipInt Soc Cardio Thorac Surgen_US
dc.identifier.doi10.1111/j.1540-8191.2005.200375.x
dc.identifier.endpage260en_US
dc.identifier.issn0886-0440
dc.identifier.issue3en_US
dc.identifier.pmid15854088en_US
dc.identifier.scopus2-s2.0-18744363635en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage257en_US
dc.identifier.urihttps://doi.org/10.1111/j.1540-8191.2005.200375.x
dc.identifier.urihttps://hdl.handle.net/11616/93936
dc.identifier.volume20en_US
dc.identifier.wosWOS:000229402700011en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherBlackwell Publishingen_US
dc.relation.ispartofJournal of Cardiac Surgeryen_US
dc.relation.publicationcategoryKonferans Öğesi - Uluslararası - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectSupra-Ventricular Arrhythmiasen_US
dc.subjectCardiac-Surgeryen_US
dc.subjectAtrial-Fibrillationen_US
dc.subjectTamponadeen_US
dc.titleEffect of posterior pericardiotomy on early and late pericardial effusion after valve replacementen_US
dc.typeConference Objecten_US

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