Virtual Conference
Heart 2022 Conference

Yasser Mubarak

Minia University, Egypt

Title: Posterior Pericardiotomy in Cardiac Valve surgery; Is it still performed or neglected?

Abstract

Objectives:- Posterior pericardial window (PPW) is the procedure that prevents postoperative cardiac valve surgery complications like; atrial fibrillation (AF), pericardial effusion (PE), and cardiac tamponade. Postoperative PE increases the incidence of AF. Cardiac tamponade is a serious complication that needs emergency surgery. The aim of study is to evaluate the early outcome of PPW after valve surgery. 

Methodology: In this prospective comparative cohort study, one thousand patients underwent elective valve surgery at our centers from January 2018 until April 2022. Patients are divided into two groups; PPW is performed in 500 patients [group A] and 500 patients performed cardiac valve surgery without PPW [group B].  Patients were followed up for AF, PE, and emergency reopening due to cardiac tamponade. 

Results: The mean age of patients was 35.26 years, 70.2% were female and 29.8% were male. Surgery was elective and all were valve surgery. The incidence of postoperative AF was 2% in group A and 24% in group B, and PE was seen in 47% [group B] patients. Cardiac tamponade was 14% in group B. Left PE needed intervention tube drainage 2% in group A. 

Conclusion: Posterior pericardial window is a simple and safe procedure during cardiac valve surgery, and it is effective in reducing the incidence of atrial fibrillation, pericardial effusion, and tamponade.

Biography

Yasser Mubarak, MD. From Cairo University Assistant professor of cardiothoracic surgery at Faculty of Medicine, Minia University, Egypt. Consultant of adult cardiac surgery at Madinah cardiac center then at King Fahd Medical City, KSA.  He has over 87 publications, and his publication h-index is 3. He has been serving as an editorial board member of several reputed journals, heart surgery forum….ect