The management and risk factors of pericardial effusion after cardiac surgery
10.3760/cma.j.issn.1001-4497.2011.11.011
- VernacularTitle:心脏外科术后心包积液的危险因素与治疗
- Author:
Junsheng MU
;
Jianqun ZHANG
;
Fan ZHOU
;
Chengxiong GU
;
Fangjiong HUANG
;
Xu MENG
;
Lizhong SUN
;
Hongjia ZHANG
;
Ping BO
;
Bin YOU
;
Ran DONG
- Publication Type:Journal Article
- Keywords:
Pericardiocentesis;
Pericardial effusion;
Risk factors;
Cardiopulmonary bypass
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2011;27(11):668-670
- CountryChina
- Language:Chinese
-
Abstract:
Objective We aimed to recent experience at our hospital in the diagnosis and treatment of pericardial effusion after cardiac surgery and to identify risk factors for its development.Methods We searched our hospital for patient who had cardiac surgery with cardiopulmonary bypass from January 2002 through December 2010.For patient with pericardial effusion,medical records were reviewed to evaluate its manifestations and management.To identify risk factors for effusion,patients with effusions were compared with patients without effusions.All patients had routine postoperative echocardiographic examination.Results Of 22462 patients identified,509 (2.3％) had pericardial effusion.Compared with patients without pericardial effusion,ages,sex,cardiac function and so on were no significant( P ＞ 0.05 ).Body,valve cardiac diseases,and cardiopulmonary bypass time and so on were significant ( P ＜ 0.05 ).Among 509 patients with pericardial effusion,262 patients (51.4％) of whom had specific symptoms.Clinical features of tamponade were documented in 51 patients( 10.1％ ).Pericardial effusions were evacuated by echocardilgraphy-guided pericardiocentesis ( n =27,10.3％ ) or surgical drainage ( n =15,5.7％ ).Pericardial effusion resolved after left thoracocentesis for pleural effusion in 5 patients ( 1.9％ ) ; The Other patients with pericardial effusion were treated conservatively.Indeperdent risk factors for pericardial effusion were large body,valve cardiac operations,and prolonged cardiopulmonsry bypass.Conclusion In our study,pericardial effusion occurred in 2.3％ of patients,and symptoms were nonspecific.Several factors,mainly related to preoperative characteristics and type of operation,predispose patients to effusion,echocardiography-guided pericardiocentesis is effective and safe in these patients with pericardial effusion.
