Right pericardial window opening: a method of preventing pericardial effusion

Şen, Onur; Ünal, Aydın; İyigün, Taner; Reyhancan, Adem; Timur, Barış; Kadiroğulları, Ersin; Göde, Safa; Kutluk, Erhan; Onan, Burak

doi:10.1007/s11748-019-01213-4

Cited by 5 publications

(2 citation statements)

References 20 publications

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“…Diagnosis dapat dibantu oleh pericardial window untuk menentukan keganasan atau infeksi. 8 Kami menangani pasien ini dengan pericardial window dan hasil follow-up menunjukan tidak adanya komplikasi.…”

Section: Diskusiunclassified

Efusi Perikardium Berat Dengan Impending Cardiac Tamponade

Yuliansyah¹,

Panggau²,

Tantono³

et al. 2022

JKU

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Efusi perikardial terjadi ketika terdapat akumulasi cairan pada kantung perikardium yang mengelilingi jantung. Akumulasi ini dapat menyebabkan penekanan yang berakibat tamponade jantung. Tanda-tanda tamponade jantung dapat berupa hipotensi, distensi vena jugularis, dan suara jantung yang meredup. Kondisi ini dapat ditangani dengan pericardiocentesis. Alternatif lain adalah dengan operasi pericardial window. Pada laporan ini, kami melaporkan seorang wanita yang memiliki efusi perikardium berat dengan impending cardiac tamponade.

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Section: Diskusiunclassified

Efusi Perikardium Berat Dengan Impending Cardiac Tamponade

Yuliansyah¹,

Panggau²,

Tantono³

et al. 2022

JKU

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“…The study showed that a thin drain placed retrocardially is effective in the prevention of posterior pericardial effusion. However, a dedicated prospective randomized controlled study by Sen and colleagues 12 demonstrated the superiority of the right pericardial window (a technique that seems to be an analog of PP) over posterior pericardial tube in terms of reducing pericardial effusion. The superiority of PP over the posterior pericardial tube is easily explained by its longer functioning.…”

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confidence: 99%

Prophylactic routine posterior pericardiotomy: Should we perform it in every patient?

et al. 2022

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Posterior pericardial window: a simple and reproducible technique in order to prevent pericardial tamponade in paediatric cardiac surgery

Simsek,

Ozyuksel,

Saygi

et al. 2023

Cardiol Young

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Objective: Pericardial tamponade, which increases postoperative mortality and morbidity, is still not uncommon after paediatric cardiac surgery. We considered that posterior pericardiotomy may be a useful and safe technique in order to reduce the incidence of early and late pericardial tamponade. Herein, we present our experience with creation of posterior pericardial window following congenital cardiac surgical procedures. Methods: This retrospective study evaluated 229 patients who underwent paediatric cardiac surgical procedures between June 2021 and January 2023. A posterior pericardial window was created in all of the patients. In neonates and infants, pericardial window was performed at a size of 2x2 cm, whereas a 3x3 cm connection was established in elder children and young adults. A curved chest tube was placed and positioned at the posterolateral pericardiophrenic sinus. An additional straight anterior mediastinal chest tube was also inserted in every patient. Transthoracic echocardiographic evaluations were performed daily to assess postoperative pericardial effusion. Results: A total of 229 (135 male, 94 female) patients were operated. Mean age and body weight were 24.2 ± 26.7 months and 10.2 ± 6.7 kg, respectively. Eight (3.5%) of the patients were neonates where 109 (47.6%) were infants and 112 (48.9%) were in childhood. Fifty-two (22.7%) re-do operations were performed. Six (2.6%) patients underwent postoperative surgical re-exploration due to surgical site bleeding. Any early or late pericardial tamponade was not encountered in the study group. Conclusions: Posterior pericardial window is an effective and safe technique in order to prevent both the early and late pericardial tamponade after congenital cardiac surgery.

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Right pericardial window opening: a method of preventing pericardial effusion

Cited by 5 publications

References 20 publications

Efusi Perikardium Berat Dengan Impending Cardiac Tamponade

Efusi Perikardium Berat Dengan Impending Cardiac Tamponade

Prophylactic routine posterior pericardiotomy: Should we perform it in every patient?

Posterior pericardial window: a simple and reproducible technique in order to prevent pericardial tamponade in paediatric cardiac surgery

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