ISSN : 1301-5680
e-ISSN : 2149-8156
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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