incidence of pericardial effusion post pericardiotomy diagnosis, intervention and treatment

Introduction: pericardial effusion is the presence of an abnormal amount of and/or an abnormal character to fluid in the pericardial space. it can be caused by a variety of local and systemic disorders, or it may be idiopathic. the objectives of this study were to review recent experience at our institution in the management of pericardial effusion, to determine modalities and outcomes of treatment the aim of this study is to evaluate the incidence of early and late (>30 days) development of pericardial effusion. between april 2015 and april 2017. method: pericardial effusion occurrence was assessed in 358 adult who underwent cardiac surgery for (cabg, valvular surgery, or combined of both) by serial echocardiography. findings: the prevalence of pe was about 3% for all cardiac surgeries. symptoms clinical manifestations were observed and response to different therapies was analyzed. 358 patients with a mean age of 60.4 ± 9.2 years undergoing coronary artery bypass grafting alone or combined with valve surgery. large pericardial effusions develop in 30% of patients after cardiac surgery, and reach their maximum size after 10 days, with tamponade in 0.1%. conclusion: in our analysis, pericardial effusion occurred in 3% of patients, and symptoms were nonspecific. several factors, mainly related to preoperative characteristics and type of operation, predispose patients to effusion. echocardiography-guided pericardiocentesis is effective and safe in these patient.