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The preventive role of the posterior pericardial window in the development of late cardiac tamponade following heart valve surgery

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dc.contributor.author Bektas, Osman
dc.contributor.author Gunaydin, Zeki Yuksel
dc.contributor.author Gunaydin, Zeki Yuksel
dc.contributor.author Uzun, Kemal
dc.date.accessioned 2022-08-17T06:56:38Z
dc.date.available 2022-08-17T06:56:38Z
dc.date.issued 2016
dc.identifier.uri http://doi.org/10.1093/icvts/ivv390
dc.identifier.uri https://academic.oup.com/icvts/article/22/5/641/2639957
dc.identifier.uri http://earsiv.odu.edu.tr:8080/xmlui/handle/11489/2631
dc.description.abstract OBJECTIVES: It is reported that creating a window from the posterior pericardium into the left pleural cavity during coronary bypass surgeries reduces postoperative late cardiac tamponades. Although late tamponades are more common after heart valve surgeries, this procedure is not generally performed. The present study investigated whether creating a window has a preventive effect on the formation of late cardiac tamponade after heart valve surgeries. METHODS: The study was conducted on all patients (n = 262) in whom one or more valves were replaced and who fulfilled the study criteria between January 2010 and October 2014 in one centre. We began to create a posterior pericardial window in all valvular patients from March 2012. One hundred and thirty-five patients operated on before this date (Non-Window Group) and 127 patients after this date (Window Group) were compared for the development of late cardiac tamponade. RESULTS: There were no differences between the groups in terms of preoperative and intraoperative characteristics. Late pericardial tamponade was not observed in any patients from the Window Group, whereas it occurred in 7 (5.2%) patients from the Non-Window Group (P = 0.015). Three patients died in total; all 3 were from the Non-Window Group. One of the mortalities was associated with tamponade. CONCLUSIONS: Creating a pericardial window may reduce late cardiac tamponade events/episodes, which may be a fatal complication in valve patients. We recommend performing this procedure by allocating some time during the surgical procedure in order to avoid tamponade. en_US
dc.language.iso eng en_US
dc.publisher OXFORD UNIV PRESS, GREAT CLARENDON ST, OXFORD OX2 6DP, ENGLAND en_US
dc.relation.isversionof 10.1093/icvts/ivv390 en_US
dc.rights info:eu-repo/semantics/openAccess en_US
dc.subject EFFUSION; MANAGEMENT; ARRHYTHMIAS; PLEURA en_US
dc.subject Posterior pericardial window; Prevention of late cardiac tamponade; Valve replacement en_US
dc.title The preventive role of the posterior pericardial window in the development of late cardiac tamponade following heart valve surgery en_US
dc.type article en_US
dc.relation.journal INTERACTIVE CARDIOVASCULAR AND THORACIC SURGERY en_US
dc.contributor.department Ordu Üniversitesi en_US
dc.identifier.volume 22 en_US
dc.identifier.issue 5 en_US
dc.identifier.startpage 641 en_US
dc.identifier.endpage 646 en_US


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