Mehmet EZELSOY, Kerem ORAL, Kemal Tolga SARAÇOĞLU, Ayten SARAÇOĞLU, Belhan AKPINAR

Posterior Pericardial Window Technique to Prevent Postoperative Pericardial Effusion in Cardiac Surgery

ABSTRACT INTRODUCTION: The aim was to determine the effectiveness of the posterior pericardial window (PW) technique in preventing the development of pericardial effusion (PE) following coronary artery bypass grafting surgery (CABG). METHODS: Patients undergoing coronary surgery were randomly divided into a control or a PW group. We divided 220 patients randomly into 2 groups, the posterior pericardial window group (n=110) and the control group (n=110). Preoperative, intraoperative and postoperative clinical data were collected retrospectively, including incidence of pericardial tamponade, drainage volume, ventilation time and moderate to large pericardial effusion. Evaluations were completed preoperatively, before discharge, and on postoperative 7 and 30 days including electrocardiography, chest radiography, echocardiography. Postoperative causes of morbidity, the duration of intensive care unit and hospital stay were recorded. RESULTS: There was no significant difference in demographic data between two groups (P>.05). Echocardiography evaluations revealed no significant difference between groups preoperatively; however, before discharge the control group had a significantly higher number of patients with early and late cardiac tamponade compared with the PW group (P

Kalp Cerrahisinde Postoperatif Perikardiyal Efüzyonun Önlenmesi İçin Posterior Perikardiyal Pencere Tekniği

ÖZ GİRİŞ ve AMAÇ: Posterior perikardiyal pencere tekniğinin, koroner arter bypass greftleme (CABG) ameliyatı sonrası perikardiyal efüzyon gelişimini önlemedeki etkinliğini belirlemekti. YÖNTEM ve GEREÇLER: Koroner cerrahi geçirecek hastalar rastgele bir kontrole veya perikardiyal pencere tekniği grubuna ayrıldı. Toplamda 210 hastayı 2 gruba ayırdık, posterior perikardiyal pencere grubu (n = 110) ve kontrol grubu (n = 110). Preoperatif, intraoperatif ve postoperatif klinik veriler retrospektif olarak toplandı. Preoperatif, taburcu olmadan önce ve postoperatif 7. ve 30. günlerde yapılan değerlendirmelere elektrokardiyografi, göğüs radyografisi, ekokardiyografik incelemeler yapıldı. Postoperatif morbidite nedenleri ve yoğun bakım ünitesinde ve hastanede kalış süreleri kaydedildi. BULGULAR: İki grup arasında demografik veriler açısından anlamlı fark yoktu (P >.05). Ekokardiyografi incelemeleri ameliyat öncesi gruplar arasında anlamlı bir farklılık yoktu; bununla birlikte, taburcu edilmeden önce, kontrol grubunda, perikardiyal pencere grubuna kıyasla, erken ve geç kardiyak tamponad anlamlı olarak yüksek bulundu (P

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