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Surgical Management of Massive Pericardial Effusion and Predictors for Development of Constrictive Pericarditis in a Resource Limited Setting
Joint Authors
Okokhere, Peter O.
Iruolagbe, Christopher Ojemiega
Odike, Angela
Owobu, Clifford
Akhigbe, Theophilus
Kesieme, Emeka B.
Source
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-07-19
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Background.
The diagnosis and treatment of massive pericardial effusion and cardiac tamponade have evolved over the years with a tendency towards a more comprehensive diagnostic workup and less traumatic intervention.
Method.
We reviewed and analysed the data of 32 consecutive patients who underwent surgery on account of massive pericardial effusion and cardiac tamponade in a semiurban university hospital in Nigeria from February 2010 to February 2016.
Results.
The majority of patients (34.4%) were between 31 and 40 years.
Fourteen patients (43.8%) presented with clinical and echocardiographic feature of cardiac tamponade.
The majority of patients (59.4%) presented with haemorrhagic pericardial effusion and the average volume of fluid drained intraoperatively was 846 mL ± 67 mL.
Pericardium was thickened in 50% of cases.
Subxiphoid pericardiostomy was performed under local anaesthesia in 28 cases.
No postoperative recurrence was observed; however 5 patients developed features of constrictive pericarditis.
The relationship between pericardial thickness and development of pericardial constriction was statistically significant ( p = 0.004 ).
Conclusion.
Subxiphoid pericardiostomy is a very effective way of treating massive pericardial effusion.
Removing tube after adequate drainage (50 mL/day) and treatment of primary pathology are key to preventing recurrence.
There is also a need to follow up patients to detect pericardial constriction especially those with thickened pericardium.
American Psychological Association (APA)
Kesieme, Emeka B.& Okokhere, Peter O.& Iruolagbe, Christopher Ojemiega& Odike, Angela& Owobu, Clifford& Akhigbe, Theophilus. 2016. Surgical Management of Massive Pericardial Effusion and Predictors for Development of Constrictive Pericarditis in a Resource Limited Setting. Advances in Medicine،Vol. 2016, no. 2016, pp.1-5.
https://search.emarefa.net/detail/BIM-1095339
Modern Language Association (MLA)
Kesieme, Emeka B.…[et al.]. Surgical Management of Massive Pericardial Effusion and Predictors for Development of Constrictive Pericarditis in a Resource Limited Setting. Advances in Medicine No. 2016 (2016), pp.1-5.
https://search.emarefa.net/detail/BIM-1095339
American Medical Association (AMA)
Kesieme, Emeka B.& Okokhere, Peter O.& Iruolagbe, Christopher Ojemiega& Odike, Angela& Owobu, Clifford& Akhigbe, Theophilus. Surgical Management of Massive Pericardial Effusion and Predictors for Development of Constrictive Pericarditis in a Resource Limited Setting. Advances in Medicine. 2016. Vol. 2016, no. 2016, pp.1-5.
https://search.emarefa.net/detail/BIM-1095339
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1095339