HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Mulay, A. Articles by Hutter, J. A. Search for Related Content PubMed PubMed Citation Articles by Mulay, A. Articles by Hutter, J. A.

European Journal of Cardio-Thoracic Surgery, Vol 9, 150-152, Copyright © 1995 by European Association for Cardio-thoracic Surgery

ARTICLES

Posterior pericardiotomy reduces the incidence of supra-ventricular arrhythmias following coronary artery bypass surgery

A Mulay, AJ Kirk, GD Angelini, JD Wisheart and JA Hutter
Department of Cardiac Surgery, Bristol Royal Infirmary, UK.

A prospective study of 100 patients undergoing coronary artery bypass surgery was performed to demonstrate the effectiveness of a posterior pericardiotomy in reducing the incidence of pericardial effusions and, consequently, reducing the incidence of supraventricular arrhythmias in the post-operative period. Pericardial effusion occurred in 4 of 50 patients following a posterior pericardiotomy, whereas effusion occurred in 20 of 50 patients in whom a pericardiotomy was not created (P < 0.0005). Supra-ventricular arrhythmias occurred in 4 patients in the pericardiotomy group and 18 in the group treated without pericardiotomy (P < 0.005). No complications resulted from this procedure. We conclude that pericardiotomy is a simple, safe and effective method for reducing the incidence or pericardial effusion and thereby post-operative supra-ventricular arrhythmias.

This article has been cited by other articles:

				W. L Baker and C M. White Post-Cardiothoracic Surgery Atrial Fibrillation: A Review of Preventive Strategies Ann. Pharmacother., April 1, 2007; 41(4): 587 - 598. [Abstract] [Full Text] [PDF]

				S. Eryilmaz, O. Emiroglu, Z. Eyileten, R. Akar, L. Yazicioglu, R. Tasoz, B. Kaya, A. Uysalel, K. Ucanok, T. Corapcioglu, et al. Effect of posterior pericardial drainage on the incidence of pericardial effusion after ascending aortic surgery J. Thorac. Cardiovasc. Surg., July 1, 2006; 132(1): 27 - 31. [Abstract] [Full Text] [PDF]

				L. L. Creswell, J. C. Alexander Jr., T. B. Ferguson Jr., A. Lisbon, and L. A. Fleisher Intraoperative Interventions: American College of Chest Physicians Guidelines for the Prevention and Management of Postoperative Atrial Fibrillation After Cardiac Surgery Chest, August 1, 2005; 128(2_suppl): 28S - 35S. [Abstract] [Full Text] [PDF]

				T. Ege, E. Tatli, S. Canbaz, M. Cikirikcioglu, H. Sunar, B. Ozalp, and E. Duran The Importance of Intrapericardial Drain Selection in Cardiac Surgery Chest, November 1, 2004; 126(5): 1559 - 1562. [Abstract] [Full Text] [PDF]

				T. Athanasiou, O. Aziz, O. Mangoush, A. Weerasinghe, S. Al-Ruzzeh, S. Purkayastha, J. Pepper, M. Amrani, B. Glenville, and R. Casula Do off-pump techniques reduce the incidence of postoperative atrial fibrillation in elderly patients undergoing coronary artery bypass grafting? Ann. Thorac. Surg., May 1, 2004; 77(5): 1567 - 1574. [Abstract] [Full Text] [PDF]

				B. Farsak, S. Gunaydin, H. Tokmakoglu, O. Kandemir, C. Yorgancioglu, and Y. Zorlutuna Posterior pericardiotomy reduces the incidence of supra-ventricular arrhythmias and pericardial effusion after coronary artery bypass grafting Eur. J. Cardiothorac. Surg., August 1, 2002; 22(2): 278 - 281. [Abstract] [Full Text] [PDF]

				E. Ozal, E. Kuralay, H. Bingol, F. Cingoz, S. Ceylan, and H. Tatar Does tranexamic acid reduce desmopressin-induced hyperfibrinolysis? J. Thorac. Cardiovasc. Surg., March 1, 2002; 123(3): 539 - 543. [Abstract] [Full Text] [PDF]

				C. Yorgancioglu, B. Farsak, H. Tokmakoglu, and S. Gunaydin An unusual experience with posterior pericardiotomy Eur. J. Cardiothorac. Surg., December 1, 2000; 18(6): 727 - 727. [Full Text] [PDF]

				R. Ascione, M. Caputo, G. Calori, C. T. Lloyd, M. J. Underwood, and G. D. Angelini Predictors of Atrial Fibrillation After Conventional and Beating Heart Coronary Surgery : A Prospective, Randomized Study Circulation, September 26, 2000; 102(13): 1530 - 1535. [Abstract] [Full Text] [PDF]

				E. Kuralay, E. Ozal, U. Demirkilic, and H. Tatar EFFECT OF POSTERIOR PERICARDIOTOMY ON POSTOPERATIVE SUPRAVENTRICULAR ARRHYTHMIAS AND LATE PERICARDIAL EFFUSION (POSTERIOR PERICARDIOTOMY) J. Thorac. Cardiovasc. Surg., September 1, 1999; 118(3): 492 - 495. [Abstract] [Full Text] [PDF]

				G. Asimakopoulos, R. D. Santa, and D. P. Taggart EFFECTS OF POSTERIOR PERICARDIOTOMY ON THE INCIDENCE OF ATRIAL FIBRILLATION AND CHEST DRAINAGE AFTER CORONARY REVASCULARIZATION: A PROSPECTIVE RANDOMIZED TRIAL J. Thorac. Cardiovasc. Surg., April 1, 1997; 113(4): 797 - 799. [Full Text]