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Titolo:
Clinical characteristics of patients with constrictive pericarditis after coronary bypass surgery
Autore:
Matsuyama, K; Matsumoto, M; Sugita, T; Nishizawa, J; Yoshioka, T; Tokuda, Y; Ueda, Y;
Indirizzi:
Tenri Hosp, Dept Cardiovasc Surg, Tenri, Nara 6328552, Japan Tenri Hosp Tenri Nara Japan 6328552 vasc Surg, Tenri, Nara 6328552, Japan
Titolo Testata:
JAPANESE CIRCULATION JOURNAL-ENGLISH EDITION
fascicolo: 6, volume: 65, anno: 2001,
pagine: 480 - 482
SICI:
0047-1828(200106)65:6<480:CCOPWC>2.0.ZU;2-G
Fonte:
ISI
Lingua:
ENG
Soggetto:
MYOCARDIAL REVASCULARIZATION; CARDIAC-SURGERY;
Keywords:
constrictive pericarditis; coronary artery bypass grafting; pericardial effusion; pericardial drainage; warfarin;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
9
Recensione:
Indirizzi per estratti:
Indirizzo: Matsuyama, K Tenri Hosp, Dept Cardiovasc Surg, 200 Mishima, Tenri, Nara 6328552, Japan Tenri Hosp 200 Mishima Tenri Nara Japan 6328552 328552, Japan
Citazione:
K. Matsuyama et al., "Clinical characteristics of patients with constrictive pericarditis after coronary bypass surgery", JPN CIRC J, 65(6), 2001, pp. 480-482

Abstract

Constrictive pericarditis (CP) is an unusual sequela of cardiac surgery, so the present study evaluated the clinical characteristics of patients withCP after coronary artery bypass grafting (CABG). Four hundred and sixty-three patients who underwent isolated CABG between January 1989 and March 1999 were examined retrospectively. The first choice of treatment for postoperative pericardial effusion was non steroid anti-inflammatory agents, and anincreased dose of diuretics. The second treatment choice was corticosteroids or pericardial drainage. When CP was suspected during the follow-up period (mean, 54 +/- 31 months), cardiac catheterization was carried out to establish the diagnosis. Of the 463 patients undergoing CABG, there were 11 (2.4%) who developed CP after surgery. The median time to the onset of symptoms after CABG was 4 weeks (range, 3-96 weeks). On univariate and multivariate analysis, normal left ventricular ejection fraction, warfarin administration, and early postoperative pericardial effusion were significantly associated with a greater potential of postoperative CP. The effusion was bloodyin all cases of pericardial drainage despite warfarin therapy. Not draining the postoperative effusive pericardial effusion was a risk factor for thedevelopment of CP. Pericardial drainage for patients with significant effusion after CABG is important for the prevention of subsequent CP, especially in those patients being treated with warfarin or with normal left ventricular function.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 06/04/20 alle ore 08:51:20