Preventive Role of Posterior Pericardiotomy in Early Post-Cardiac Surgery Atrial Fibrillation and Pericardial Collection
Singer, M., Osama, A., Azzam, M., Alashiry, A. (2022). Preventive Role of Posterior Pericardiotomy in Early Post-Cardiac Surgery Atrial Fibrillation and Pericardial Collection. EKB Journal Management System, 89(2), 7849-7855. doi: 10.21608/ejhm.2022.277373
Mahmoud Saber Elsayed Singer; Abdullah Osama; Mohamed Azzam; Ahmed Othman Alashiry. "Preventive Role of Posterior Pericardiotomy in Early Post-Cardiac Surgery Atrial Fibrillation and Pericardial Collection". EKB Journal Management System, 89, 2, 2022, 7849-7855. doi: 10.21608/ejhm.2022.277373
Singer, M., Osama, A., Azzam, M., Alashiry, A. (2022). 'Preventive Role of Posterior Pericardiotomy in Early Post-Cardiac Surgery Atrial Fibrillation and Pericardial Collection', EKB Journal Management System, 89(2), pp. 7849-7855. doi: 10.21608/ejhm.2022.277373
Singer, M., Osama, A., Azzam, M., Alashiry, A. Preventive Role of Posterior Pericardiotomy in Early Post-Cardiac Surgery Atrial Fibrillation and Pericardial Collection. EKB Journal Management System, 2022; 89(2): 7849-7855. doi: 10.21608/ejhm.2022.277373

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

The Egyptian Journal of Hospital Medicine
Article 262, Volume 89, Issue 2, October 2022, Page 7849-7855  XML PDF (388.21 K)
Document Type: Original Article
DOI: 10.21608/ejhm.2022.277373
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Authors
Mahmoud Saber Elsayed Singer email ; Abdullah Osama; Mohamed Azzam; Ahmed Othman Alashiry
Abstract
 
 
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.  
 
Keywords
Atrial fibrillation; Posterior pericardiotomy; Pericardial effusion; Cardiac surgery
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