Commentary: Less Bloody and Bloodless Cases

Commentary: Postoperative pericardial effusion: Surrounded by a conundrum

“…This finding emphasizes the importance of aiming for cardiopulmonary bypass strategies with less use of blood products. 4 Trisomy 21 has also been shown by other studies to be a risk factor for PE. 3 This can be attributed to the higher prevalence of hypothyroidism and right-sided lesions in this subgroup.…”

“… 4 Trisomy 21 has also been shown by other studies to be a risk factor for PE. 3 This can be attributed to the higher prevalence of hypothyroidism and right-sided lesions in this subgroup. 5 Although a particular congenital anomaly has not been shown as a significant predictor of PE in this study, repair of an atrial septal defect has been associated with higher rates of PE.…”

“… 1 There is a dearth of literature focused exclusively on the risk factors of this metric of postoperative morbidity in children. 1 , 2 , 4 As we continue to improve on the outcomes of congenital cardiac surgery it is prudent to study this unwanted complication in more detail in the current era.…”

“… 5 Although a particular congenital anomaly has not been shown as a significant predictor of PE in this study, repair of an atrial septal defect has been associated with higher rates of PE. 3 The preemptive use of the pleuropericardial window is a routine practice in some centers. Unfortunately, studies on the basis of large databases lack granularity to investigate surgical details and compare their effects on outcomes.…”