ISSN : 1301-5680
e-ISSN : 2149-8156
TURKISH JOURNAL OF
THORACIC AND
CARDIOVASCULAR SURGERY
Turkish Journal of Thoracic and Cardiovascular Surgery     
IS IT REQUIRED THAT PARAPERICARDIAL TISSUE IS CLOSED AFTER OPEN HEART OPERATIONS?
Ahmet BALTALARLI, İbrahim GÖKŞİN, Oya RENDECİ, Mustafa SAÇAR, Bekir Hayrettin ŞİRİN, *Ayşe TİRYAKİ, **Levent KAPLAN
Pamukkale Üniveritesi Tıp Fakültesi, Göğüs Kalp Damar Cerrahi Anabilim Dalı, DENİZLİ
*Pamukkale Üniveritesi Tıp Fakültesi, Radyoloji Anabilim Dalı, DENİZLİ
**Pamukkale Üniveritesi Tıp Fakültesi, Anesteziyoloji ve Reanimasyon Anabilim Dalı, DENİZLİ
Reoperation is difficult if the right ventricle is attached to the sternum. Initial pericardial closure prevents the attachment but it could depress the cardiac functions. We search the geometric and hemodynamic effects of parapericardial tissue closure. Twenty-four patients undergoing open heart surgery were randomized into two groups; 12 patients underwent the closure of both of timus lobes, the parapericardial tissue and both side of pleura. In 12 patients, the pericardium was left open (one patient died and was excluded). In all patients, radiopaque markers were attached to the right ventricular epicardium. However, in the closure group, the cardiac indices in 8th and 16th hours (2.9 ± 0.2 and 3 ± 0.2 l/min.m2) did not different from open group (2.8 ± 0.3 and 2.9 ± 0.3 l/min.m2, p > 0.05). The space between epicardium and sternum was not not different between two groups (15 ± 3 mm; vs 14 ± 3 mm; p > 0.05). The thechnique does not have any additional benefit but further investigations and pathological study may reveal the advantage of the technique.
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