ISSN : 1301-5680
e-ISSN : 2149-8156
TURKISH JOURNAL OF
THORACIC AND
CARDIOVASCULAR SURGERY
Turkish Journal of Thoracic and Cardiovascular Surgery     
EFFECT OF PRIMARY CLOSURE OF THE PERICARDIUM AFTER HEART SURGERY ON THE CARDIAC TAMPONADE
İlhan SANİSOĞLU, Belhhan AKPINAR, Mustafa GÜDEN, Ertan SAĞBAŞ, *E. CAKALI, Murat ARPAZ, *O. BAYINDIR, **C. DEMİROĞLU
Kadir Has Üniversitesi Tıp Fakültesi, Florence Nightingale Hastanesi, Kalp Damar Cerrahisi Anabilim Dalı, İSTANBUL,
*Anestezi ve Reanimasyon Anabilim Dalı,
**Kardiyoloji Anabilim Dalı, İSTANBUL
Purpose:

Primary closure of the pericardium at the end of the first operation may significantly reduce the risk of bleeding during resternotomy in a possible reoperation. In this retrospective study, we tried to find out whether the primary closure of pericardium increases the risk of cardiac tamponade.

Materials and Methods:

We studied 640 cases retrospectively. Pericardium was closed in 564 cases. In most cases, intrapericardial drainage was established through an opening on posterior pericardium. In the other cases a thoracic drainage tube, 28 number, was placed on the diaphragmatic surface. 421 (74.6%) cases were male, 143 (25.4%) cases were female. 13 (2.3%) of cases had to be reopened because of bleeding. 3 (0.5%) of these cases had symptoms of tamponade, while ten cases had no such symptom.

Results:

When cases were compared to control group, a significant differences was not obtained for bleeding and tamponade.

Conclusion:

We suggest the primary closure of the pericardium in the first operation except in patients with bad ventricles to avoid bleeding during resternotomy in a future reoperation.

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