Preventive Role of Posterior Pericardiotomy in Early Post-Cardiac Surgery Atrial Fibrillation and Pericardial Collection

Le résumé fourni par la source

Background: Postoperative atrial fibrillation is common problem after cardiac surgeries. It is related to the rise in morbidity & hospital costs. Objective: The goal of the research was to assess the effectiveness of posterior pericardiotomy in reducing the incidence of postoperative pericardial effusion & consequently decreasing the related atrial fibrillation. Subjects and Methods: This randomized research included 100 patients scheduled for cardiac surgery in Kasr Al-Ainy Hospital, Cairo University & Fayoum University Hospital, Department of Cardiothoracic Surgery between March 2022 and September 2022. Studied cases were separated into 2 groups; each group included fifty studied cases, the posterior pericardiotomy group (group A) and control group (group B). Postoperative evaluations were made after five & thirty days and contained electrocardiographic research, chest x-ray, & echocardiography. Results: Early pericardial effusion developed in 4 studied cases (8%) in group A & 19 studied cases (38%) in group B (P<0.0001). No late pericardial effusion in group A compared to nine (18%) cases had late pericardial effusion in group B (P=0.002). Atrial fibrillation developed in 8 patients (16%) in group (A) & in 11 patients (22%) in group B (P=0.444). Conclusion: Posterior pericardiotomy is safe method that significantly decreases the incidence of early & late postoperative pericardial effusion and tamponade, but it has no significant effect in reduction of postoperative AF.

Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.