Naslov
DIAGNOSIS AND TREATMENT OF POSTPERICARDIOTOMY SYNDROME.

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

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, stručni

Izvornik
Cardiologia Croatica 2012 ; 7(suppl.1) / - , 2012, 85-86

Skup
9.KONGRES HRVATSKOGA KARDIOLOŠKOG DRUŠTVA s međunarodnim sudjelovanjem

Mjesto i datum
Opatija, Hrvatska, 13.10.2012. - 16.10.2012

Vrsta sudjelovanja
Poster

Vrsta recenzije
Domaća recenzija

Ključne riječi
Postpericardiotomy syndrome - diagnosis; treatment

Sažetak
Introduction: Postpericardiotomy syndrome (PPS) is a clinical syndrome that occurs in autoimmune inflammatory reaction within the pericardium and pleura, and manifests itself with the pericardial and pleural effusion within 1 to 6 weeks after cardiac surgery. We present our experience of diagnosis and treatment of PPS in 211 patients referred for cardiac surgery at University Hospital Dubrava, Zagreb, after invasive cardiac treatment in General Hospital Slavonski Brod. Methods: Clinical, radiographic and echocardiography data were analyzed. The key diagnostic parameters in the evaluation of patients and choice of therapy were: echocardiographic findings of pericardial effusion> 0.3 cm, the progression of pleural effusion, elevated inflammatory parameters and type of exudate effusion.RESULTS: 20 (9.4%) patients developed PPS, 15(75%) were male. Median onset time was 2 weeks, and avarage CRP level was 50.3. Among 20 patients 13 (65%) were febrile. Considering the type of surgery, CABG was performed in 7 patients, CABG+valvuloplasty in 4 patients, surgical treatment of acute aortic dissection in 4 patients and only valvuloplasty in 5 patients. Patients were treated with methilprednisolone (18) and indomethacin (2) depending on the quantity of pericardial and pleural effusion. We raeched full recovery in all patients. CONCLUSION: PPS is a late complication of cardiac surgery. The first signs of the disease usually occur soon after surgical discharge. Routine clinical follow up in early postoperative period is crucial for timely diagnosis which leads to successful treatment.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

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