POSTERIOR PERICARDIOTOMY REDUCES THE INCIDENCE OF SUPRA-VENTRICULAR ARRHYTHMIAS FOLLOWING CORONARY-ARTERY BYPASS-SURGERY

被引：55

作者：

MULAY, A ^{[1
]}

KIRK, AJB ^{[1
]}

ANGELINI, GD ^{[1
]}

WISHEART, JD ^{[1
]}

HUTTER, JA ^{[1
]}

机构：

[1] BRISTOL ROYAL INFIRM & GEN HOSP,DEPT CARDIAC SURG,BRISTOL BS2 8HW,AVON,ENGLAND

来源：

EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY | 1995年 / 9卷 / 03期

关键词：

POSTERIOR PERICARDIOTOMY; ARRHYTHMIAS; CORONARY SURGERY;

D O I：

10.1016/S1010-7940(05)80063-6

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A prospective study of 100 patients undergoing coronary artery bypass surgery was performed to demonstrate the effectiveness of a posterior pericardiotomy in reducing the incidence of pericardial effusions and, consequently, reducing the incidence of supraventricular arrhythmias in the post-operative period. Pericardial effusion occurred in 4 of 50 patients following a posterior pericardiotomy, whereas effusion occurred in 20 of 50 patients in whom a pericardiotomy was not created (P<0.0005). Supra-ventricular arrhythmias occurred in 4 patients in the pericardiotomy group and 18 in the group treated without pericardiotomy (P<0.005). No complications resulted from this procedure. We conclude that pericardiotomy is a simple, safe and effective method for reducing the incidence or pericardial effusion and thereby post-operative supra-ventricular arrhythmias.

引用

页码：150 / 152

页数：3

共 9 条

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