Singer, M., Osama, A., Azzam, M., Alashiry, A. (2022). Preventive Role of Posterior Pericardiotomy in Early Post-Cardiac Surgery Atrial Fibrillation and Pericardial Collection. The Egyptian Journal of Hospital Medicine, 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". The Egyptian Journal of Hospital Medicine, 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', The Egyptian Journal of Hospital Medicine, 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. The Egyptian Journal of Hospital Medicine, 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
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.