Objectives: The primary closure of the pericardium may reduce the risk of cardiac injury during reoperation, especially the right ventricle, aorta and coronary bypass grafts. Nevertheless, concern about adverse hemodynamic effects prevents most heart surgeons of closing the pericardium.Methods: We evaluated 30 patients undergoing open heart surgery consecutively who had the pericardium primarily closed, named (group A) and 18 patients, as a control group (group B) in which the pericardium was left open. All patients underwent posteroanterior and lateral chest roentgenograms before surgery and one week postoperatively. Postoperative evaluation also included echocardiograms, ECG and postoperative enzyme analysis.Results: There were no deaths or any complications in none of the groups (acute myocardial infarction, stroke, bleeding or cardiac tamponate). We observed statistical differences between both groups especially in echocardiogram parameters and cardiothoracic ratio without clinical impact.Conclusion: The primary closure of the pericardium is a simple method to facilitate resternotomy during subsequent reoperative procedures. However, cardiac surgeons should be aware of the transient deterioration in hemodynamics associated with it, even thought there was no clinical significance in this study. Descriptors 366DANTAS, CEP ET AL -Pericardium closure after heart operations: a safe option? Bras Cir Cardiovasc 2010; 25(3): 365-370 Rev
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.