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:: Volume 7, Issue 2 (6-2018) ::
Int J Med Invest 2018, 7(2): 39-46 Back to browse issues page
Incidence of Pericardial Effusion Post Pericardiotomy Diagnosis, Intervention and Treatment
Moh,Harbe Khassawneh , Zyad Abdelrazzaq Alfawaeer * , Dawood Moh,D Attallah
Intervention cardiologist specialist, Division of Cardiology, Department of Medicine, Amman, Jordan queen alia heart institute
Abstract:   (731 Views)
Introduction: Pericardial effusion is the presence of an abnormal amount of and/or an abnormal character to fluid in the pericardial space. It can be caused by a variety of local and systemic disorders, or it may be idiopathic. The objectives of this study were to review recent experience at our institution in the management of pericardial effusion, to determine modalities and outcomes of treatment The aim of this study is to evaluate the incidence of early and late (>30 days) development of pericardial effusion. Between April 2015 and April 2017. Method: pericardial effusion occurrence was assessed in 358 adult who underwent cardiac surgery for (CABG, valvular surgery, or combined of both) by serial echocardiography. Findings: The prevalence of PE was about 3% for all cardiac surgeries. Symptoms Clinical manifestations were observed and response to different therapies was analyzed. 358 patients with a mean age of 60.4 ± 9.2 years undergoing coronary artery bypass grafting alone or combined with valve surgery. Large pericardial effusions develop in 30% of patients after cardiac surgery, and reach their maximum size after 10 days, with tamponade in 0.1%. Conclusion: In our analysis, pericardial effusion occurred in 3% of patients, and symptoms were nonspecific. Several factors, mainly related to preoperative characteristics and type of operation, predispose patients to effusion. Echocardiography-guided pericardiocentesis is effective and safe in these patient.
Keywords: pericardial tamponad, Pericardial Effusion, chest X-ray, Echocardiograph.
Full-Text [PDF 491 kb]   (233 Downloads)    
Type of Study: Research | Subject: General
References
1. 1. Maisch B. Pericardial diseases, with a focus on etiology, pathogenesis, pathophysiology, new diagnostic imaging methods, and treatment. Curr Opin Cardiol. 1994 May. 9(3):379-88. [Medline]. 2. Weitzman LB, Tinker WP, Kronzon I, Cohen ML, Glassman E, Spencer FC. The incidence and natural history of pericardial effusion after cardiac surgery--an echocardiographic study. Circulation. 1984;69(3):506–11. [PubMed 3. Artom G, Koren-Morag N, Spodick DH, et al. Pretreatment with corticosteroids attenuates the efficacy of colchicine in preventing recurrent pericarditis: a multi-centre all-case analysis. Eur Heart J. 2005 Apr. 26(7):723-7. [Medline] 4. Beland MJ, Paquet M, Gibbons JE, Tchervenkov CI, Dobell AR. Pericardial effusion after cardiac surgery in adult and effects of aspirin for prevention. Am J Cardiol. 1990;65(18):1238–41. [PubMed 5. Guideline] Cheitlin MD, Alpert JS, Armstrong WF. ACC/AHA Guidelines for the Clinical Application of Echocardiography. A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee on Clinical Application of Echocardiography). Developed in coll. Circulation. 1997 Mar 18. 95(6):1686-744. [Medline]. 6. Chong HH, Plotnick GD. Pericardial effusion and tamponade: evaluation, imaging modalities, and management. Compr Ther. 1995 Jul. 21(7):378-85. [Medline]. 7. Merce J, Sagrista-Sauleda J, Permanyer-Miralda G, Evangelista A, Soler-Soler J. Correlation between clinical and Doppler echocardiographic findings in patients with moderate and large pericardial effusion: implications for the diagnosis of cardiac tamponade. Am Heart J. 1999 Oct. 138(4 Pt 1):759-64. [Medline]. 8. Kuvin JT, Harati NA, Pandian NG, Bojar RM, Khabbaz KR. Postoperative cardiac tamponade in the modern surgical era. Ann Thorac Surg. 2002 Oct. 74(4):1148-53. [Medline]. Ben-Horin S, 9. Andreasen JJ, Sorensen GV, Abrahamsen ER, et al. Early chest tube removal following cardiac surgery is associated with pleural and/or pericardial effusions requiring invasive treatment. Eur J Cardiothorac Surg. 2016 Jan. 49(1):288-92. [Medline 10. Sagrista-Sauleda J, Merce AS, Soler-Soler J. Diagnosis and management of pericardial effusion. World J Cardiol. 2011 May 26. 3(5):135-43. [Medline].
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Khassawneh M, Alfawaeer Z A, Attallah D M. Incidence of Pericardial Effusion Post Pericardiotomy Diagnosis, Intervention and Treatment. Int J Med Invest. 2018; 7 (2) :39-46
URL: http://intjmi.com/article-1-322-en.html


Volume 7, Issue 2 (6-2018) Back to browse issues page
International Journal of Medical Investigation
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