Abstract

Observational Study

Posterior pericardiotomy in heart valve surgery; is it still performed or neglected?

Yasser Mubarak*

Published: 04 July, 2022 | Volume 7 - Issue 2 | Pages: 054-055

Background: Posterior pericardiotomy (PP) is helpful to prevent arrhythmia; especially atrial fibrillation (AF), and cardiac tamponade postoperative cardiac valve surgery. The incidence of postoperative AF is increased due to postoperative pericardial effusion (PE). This study aimed to investigate the early outcome of PP after heart valve surgery. 
Methods: In this prospective study, 120 patients underwent elective valve heart surgery at our center from January 2020 until April 2022. Patients were followed up for AF and pericardial effusion, and reopening due to tamponade. 
Results: The mean age of patients was 35.26 years, 70.2% were female and 29.8% were male. Surgery was elective and all were valve surgery. The incidence of postoperative AF was 2%, and pericardial effusion was seen in 1% of patients. Tamponade was not seen in any case. Left PE needed intervention tube drainage of 2%. 
Conclusion: Posterior pericardiotomy is a simple and safe procedure during valve heart surgery, and it is effective in reducing the incidence of atrial fibrillation, pericardial effusion, and tamponade.

Read Full Article HTML DOI: 10.29328/journal.jccm.1001133 Cite this Article Read Full Article PDF

Keywords:

Posterior pericardiotomy; Atrial fibrillation; Pericardial effusion; Tamponade

References

  1. Filardo G, Hamilton C, Hebeler RF Jr, Hamman B, Grayburn P. New-onset postoperative atrial fibrillation after isolated coronary artery bypass graft surgery and long-term survival. Circ Cardiovasc Qual Outcomes. 2009 May;2(3):164-9. doi: 10.1161/CIRCOUTCOMES.108.816843. Epub 2009 Apr 24. PMID: 20031833.
  2. Nisanoglu V, Erdil N, Aldemir M, Ozgur B, Berat Cihan H, Yologlu S, Battaloglu B. Atrial fibrillation after coronary artery bypass grafting in elderly patients: incidence and risk factor analysis. Thorac Cardiovasc Surg. 2007 Feb;55(1):32-8. doi: 10.1055/s-2006-924711. PMID: 17285471.
  3. Farsak B, Günaydin S, Tokmakoğlu H, Kandemir O, Yorgancioğlu C, Zorlutuna Y. Posterior pericardiotomy reduces the incidence of supra-ventricular arrhythmias and pericardial effusion after coronary artery bypass grafting. Eur J Cardiothorac Surg. 2002 Aug;22(2):278-81. doi: 10.1016/s1010-7940(02)00259-2. PMID: 12142199.
  4. Hu XL, Chen Y, Zhou ZD, Ying J, Hu YH, Xu GH. Posterior pericardiotomy for the prevention of atrial fibrillation after coronary artery bypass grafting: A meta-analysis of randomized controlled trials. Int J Cardiol. 2016 Jul 15;215:252-6. doi: 10.1016/j.ijcard.2016.04.081. Epub 2016 Apr 16. PMID: 27128541.
  5. Alawami M, Chatfield A, Ghashi R, Walker L. Atrial fibrillation after cardiac surgery: Prevention and management: The Australasian experience. J Saudi Heart Assoc. 2018 Jan;30(1):40-46. doi: 10.1016/j.jsha.2017.03.008. Epub 2017 Mar 24. PMID: 29296063; PMCID: PMC5744031.
  6. Gupta R, Dhaduk K, Harburger J, Jacobson J, Panza JA. Can Posterior Pericardiotomy Reduce the Incidence of Postoperative Atrial Fibrillation after Coronary Artery Bypass Grafting? Journal of Cardiac Failure. 2019;25(8): S84.

Figures:

Figure 1

Figure 1

Similar Articles

Recently Viewed

Read More

Most Viewed

Read More