POSTOPERATIVE PERICARDIAL EFFUSION SYNDROME

2012 ◽  
pp. 66-71
Author(s):  
Quang Thuu Le
Keyword(s):  
Pericardial Effusion ◽  
Heart Surgery ◽  
Open Heart Surgery ◽  
Diagnostic Methods ◽  
Open Heart ◽  
Cross Sectional ◽  
Pericardial Drainage ◽  
Results Of Treatment ◽  
Intraoperative Management ◽  
Minimal Problems

Objective: Today, despite many recent improvements in intraoperative management and postoperative care, late pericardial effusions remain an important cause of morbidity after cardiac surgery. Because of widespread use of chronic anticoagulation and increased complexity of operations, the incidence of effusion may be higher. Thus we need to update the information on the symptoms, risk factors, diagnostic methods and treatment of Postoperative pericardial effusion syndrome. Patients and methods: A cross-sectional and prospective study of all patients admitted to hospital because of pericardial effusion after open heart surgery from 1/2010 to 9/2012. Study the clinical characteristics, paraclinicals, evaluate the results of treatment of pericardial effusion after open heart surgery. Results: Symptoms of pericardial effusion are nonspecific. Some patients with pericardial effusion report minimal problems. In the present study, few patients have the classic presentation of tamponade. Echocardiography is the diagnostic accuracy pericardial effusion after open heart surgery. This treatment mainly is pericardial drainage with 100%. Conclusion: Pericardial effusion is a common complication after open-heart surgery, symptoms of pericardial effusion are nonspecific to diagnostic method is echocardiographic surveillance.patients can be treated with internal medicine if has no tamponade and less fliuds. Pericardial drainage is absolute only in patients with pericardial effusion with signs of cardiac tamponade or pericardial many of effusion.

Pericardial Effusion and Pericardial Compartments after Open Heart Surgery

1990 ◽  
Vol 31 (1) ◽  
pp. 41-46 ◽  
Author(s):  
O. Duvernoy ◽  
S. G. Larsson ◽  
K. Persson ◽  
J. Thuren ◽  
G. Wikstrom
Keyword(s):  
Pericardial Effusion ◽  
Heart Surgery ◽  
Open Heart Surgery ◽  
Open Heart

scholarly journals Pericardial effusion after open heart surgery.

Thorax ◽  
1991 ◽  
Vol 46 (2) ◽  
pp. 149-149 ◽  
Author(s):  
I A D'Cruz ◽  
G M Pai
Keyword(s):  
Pericardial Effusion ◽  
Heart Surgery ◽  
Open Heart Surgery ◽  
Open Heart

The incidence and significance of early pericardial effusion after open heart surgery

1987 ◽  
Vol 1 (3) ◽  
pp. 165-168 ◽  
Author(s):  
G ANGELINI ◽  
W PENNY ◽  
F ELGHAMARY ◽  
R WEST ◽  
E BUTCHART ◽  
...  
Keyword(s):  
Pericardial Effusion ◽  
Heart Surgery ◽  
Open Heart Surgery ◽  
Open Heart

scholarly journals Pericardial effusion after open heart surgery.

Thorax ◽  
1990 ◽  
Vol 45 (9) ◽  
pp. 655-656 ◽  
Author(s):  
A J Bryan ◽  
G D Angelini
Keyword(s):  
Pericardial Effusion ◽  
Heart Surgery ◽  
Open Heart Surgery ◽  
Open Heart

Pericardial effusion following cardiac surgery. A single-center experience

2017 ◽  
Vol 26 (1) ◽  
pp. 5-10 ◽  
Author(s):  
Hien Sinh Nguyen ◽  
Hung Doan-Thai Nguyen ◽  
Thang Duc Vu
Keyword(s):  
Logistic Regression ◽  
Regression Analysis ◽  
Pericardial Effusion ◽  
Logistic Regression Analysis ◽  
Heart Surgery ◽  
Open Heart Surgery ◽  
Multivariate Logistic Regression Analysis ◽  
Left Ventricular ◽  
Open Heart ◽  
Z Score

Background Pericardial effusion is still a common postoperative complication after open heart surgery with cardiopulmonary bypass. Pericardial effusion significantly prolongs the hospital stay and associated costs as well as affecting overall outcomes after open heart surgery in Hanoi Heart Hospital, a tertiary hospital in Vietnam with an annual volume of 1000 patients. This study aimed to investigate the clinical presentation, incidence, and risk factors of postoperative pericardial effusion, which may ensure better prevention of pericardial effusion and improvement in surgical outcomes after open heart surgery. Methods A cross-sectional study was performed on 1127 patients undergoing open heart surgery from January 2015 to December 2015. Results Thirty-six (3.19%) patients developed pericardial effusion. Of these, 16 (44.4%) had cardiac tamponade. Pericardial effusion occurred after valve procedures in 77.8% of cases. Pericardial effusion was detected after discharge in 47.2% of cases at a mean time of 18.1 ± 13.7 days. Univariate logistic regression analysis showed that age > 25 years, body surface area ≥ 1.28 m2, preoperative liver dysfunction, New York Heart Association class III/IV, left ventricular end-diastolic diameter z score ≥ 0.55, and postoperative anticoagulant use were associated with postoperative pericardial effusion. Multivariate logistic regression analysis showed that left ventricular end-diastolic diameter z score ≥ 0.55 was an independent risk factor for postoperative pericardial effusion. Conclusions Routine postoperative echocardiography is necessary to detect postoperative pericardial effusion. Increased left ventricular end-diastolic dimension is an independent predictor of postoperative pericardial effusion.

scholarly journals The Relationship Between Performance Indicators and Readmission of Patients With Open Heart Surgery: A Case Study in Iran

2019 ◽  
Vol 4 (2) ◽  
pp. 62-67
Author(s):  
Parvin Ebrahimi ◽  
Mohammadali Taghi Nattaj Darzi Naghibi ◽  
Soudabeh Vatankhah ◽  
Ghassem Faghanzadeh Ganji
Keyword(s):  
Teaching Hospital ◽  
Performance Indicators ◽  
Heart Surgery ◽  
Open Heart Surgery ◽  
Patient Readmission ◽  
Open Heart ◽  
Cross Sectional ◽  
Statistical Population ◽  
The North ◽  
The Relationship

Background: Open heart surgery is a prevalent therapeutic intervention for cardiovascular diseases. Significant adverse effects occur after heart surgery, one of which is patient readmission to the hospital. Objective: The present study aimed to determine the relationship between performance indicators and the readmission of patients with open heart surgery in a teaching hospital in Iran. Methods: This study was performed using a cross-sectional and descriptive method with a retrospective approach. Data was collected on a data collection form. The statistical population of this study comprised all patients who underwent open heart surgery from mid-September 2015 to mid-September 2016 in a teaching hospital in the north of Iran (n=849). Those patients readmitted to the hospital within 90 days after discharge, based on a review of patient records, were included in the study. Descriptive statistics and Spearman correlation coefficient were used for data analysis by SPSS 20. Results: Among the patients who had open heart surgery in the selected hospital, 12.5% were readmitted within 90 days after discharge. The most important reasons for readmission in this study were infection in surgery place (25.8%), pleural effusion (18.7%), warfarin toxicity (9.8%), and tamponade (8.9%). There were inverse relationships between patient readmission and the two performance indicators of bed occupancy percentage (r = -0.594, P=0.042) and bed turnover rate (r = -0.664, P=0.018). There were no statistically significant relationships between any of the other indicators (length of stay, mortality, and bed turnover interval) and readmission rate (P>0.1). Conclusion: Hospital authorities can use these results for bed management and targeting interventions to reduce costs and readmissions as a measure of hospital quality. However, further research into readmission factors in other hospitals is recommended.

Echocardiographic evidence of persistent pericardial effusion after open heart surgery

1994 ◽  
Vol 47 (1) ◽  
pp. 59-65
Author(s):  
Alan G. Fraser ◽  
Shahid Ikram ◽  
Alan J. Bryan ◽  
Gianni D. Angelini
Keyword(s):  
Pericardial Effusion ◽  
Heart Surgery ◽  
Open Heart Surgery ◽  
Open Heart ◽  
Echocardiographic Evidence

Pericardial Effusion Following Open Heart Surgery in Children: Incidence, Risk Factors, and Outcomes

2013 ◽  
Vol 29 (10) ◽  
pp. S90
Author(s):  
G.J. Galante ◽  
D. Schantz ◽  
K. Myers ◽  
C. Pockett ◽  
I. Rebeyka ◽  
...  
Keyword(s):  
Risk Factors ◽  
Pericardial Effusion ◽  
Heart Surgery ◽  
Open Heart Surgery ◽  
Open Heart ◽  
Incidence Risk

scholarly journals Pericardial Effusion and Pericardial Compartments after Open Heart Surgery

1990 ◽  
Vol 31 (1) ◽  
pp. 41-46 ◽  
Author(s):  
O. Duvernoy ◽  
S. G. Larsson ◽  
K. Persson ◽  
J. Thurén ◽  
G. Wikström
Keyword(s):  
Pericardial Effusion ◽  
Heart Surgery ◽  
Open Heart Surgery ◽  
Open Heart

scholarly journals Neurological Sequelae Following Pediatric Cardiac Interventions

2021 ◽  
Vol 9 (B) ◽  
pp. 137-143
Author(s):  
Hala Agha ◽  
Mai Mahmoud Hussien ◽  
Marian Y Girgis ◽  
Omneya Gamal Eldin Afify ◽  
Mervat Haroun
Keyword(s):  
Heart Surgery ◽  
Open Heart Surgery ◽  
Neurological Complications ◽  
Cross Sectional Study ◽  
Neurological Dysfunction ◽  
Open Heart ◽  
Cross Sectional ◽  
Neurological Sequelae ◽  
Electrophysiological Studies ◽  
Cardiac Catheterizations

AIM: The aim of the present study was to assess neurological sequelae within 30 days of surgical or cardiac catheter interventions in infants and children. METHOD: In this cross-sectional study, we evaluated all patients who developed neurological problems after cardiac interventions either by surgery or by catheter by clinical evaluation, brain imaging, and electrophysiological studies. RESULTS: Among 1200 procedures were performed; 895 (74.6%) were cardiac catheterizations either diagnostic or intervention, 167 (13.9%) were open-heart surgery, and 138 (11.5%) were closed heart surgery. The overall incidence of post-procedure neurological dysfunction in the studied population was 3.4%. The differences between the three groups were statistically significant (p < 0.0001(. In our series, the neurological complications were in the form of disturbed conscious level in 2/41 (4.9%), impaired motor function in 11/41 (26.8%), impaired mental functions in 6/41(14.6%), hyperreflexia in 27/41 (65.9%), and seizures in 38/41 (92.7%). The most common presentation of seizures was in the form of focal fits 21/41 (51.2%), followed by generalized fits in 15/41(36.6%) and then myoclonic fits 2/41 (4.9%). CONCLUSION: Seizures are the most common complication following cardiac interventions in pediatric age and the highest percentage following open heart surgery.

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