Naslov
Postpericardiotomy syndrome: diagnosis and treatment.

Autori
Vujeva, Božo ; Gabaldo, Krešimir ; Hadžibegović, Irzal ; Sutlić, Željko

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, neobjavljeni rad, stručni

Skup
VI. kongres kardiologa i angiologa BIH

Mjesto i datum
Tuzla, Bosna i Hercegovina, 30.05.2013. - 01.06.2013

Vrsta sudjelovanja
Predavanje

Vrsta recenzije
Međunarodna recenzija

Ključne riječi
PPS; surgery; complications

Sažetak
Introduction: Postpericardiotomy syndrome (PPS) is a clinical syndrome that occurs in autoimmune inflammatory reaction within the pericardium and pleura, and manifests with pericardial and pleural effusion within 1 to 6 weeks after cardiac surgery. We present our experience with diagnosis and treatment of PPS in 211 patients referred to cardiac surgery at Clinical hospitakl Dubrava in Zagreb, after invasive diagnostic procedure in Slavonski Brod. Methods: Clinical, radiographic, and echocardiographic data were analyzed. Key diagnostic parameters were pericardial effusion more than 0.3 cm, progressive pleural effusion, elevated inflammatory markers and exudative type of effusion. Results: 20 patients (9.4%) developed PPS, and 15 (75%) were male. Median onset time was 2 weeks following surgery. Median CRP level was 50.3. Among 20 patients, 13 (65%) were febrile at the time of diagnosis. Considering type of surgery CABG was performed in 7 patients, CABG+valve repair in 4, acute aortic dissection treatment in 4 and only valve repair/implantation in 5 patients. Patients were treated with methylprednisolone (90%) and indomethacin (10%) depending on the quantity of pericardial and pleural effusion. There was no need for pericardiocentesis in any of the patients. Conclusion: PPD is a late complication of cardiac surgery. First signs of the disease usually occur soon after discharge from surgical ward. Routine clinical and echocardiographic follow up in post-cardiac surgery patients is crucial for timely diagnosis, succesfull medical therapy and avoidance of invasive treatment.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

POVEZANOST RADA