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ROLE OF POSTERIOR PERICARDIOTOMY IN PREVENTION OF PERICARDIAL EFFUSION AND ATRIAL FIBRILLATION AFTER CORONARY ARTERY BYPASS GRAFTING SURGERY

Dr. Rida Yaqoob, Dr Muhammad Danish Tamoor Ghazi, Rumsha Shafi

Abstract: Objectives: The objective of this research was to assess the adequacy of Posterior Pericardiotomy in diminishing the event and advancement of Pericardial Effusion and related Atrial Fibrillation (AF). Patients and Methods: This Randomized Control Trial was carried out at Sir Ganga Ram Hospital, Lahore (January 2018 to February 2019). This planned randomized research was performed in the initial 100 patients experiencing coronary supply route sidestep uniting medical procedure (CABG). Patients were randomized into two groups, Posterior Pericardiotomy was performed in 50 patients before discharging aortic cross brace (Group I); staying other 50 patients filled in as the control (Group II). The longitudinal entry point was made parallel and back to one side phrenic nerve, stretching out from the left second-rate pneumonic vein to the stomach in Group I. Results: The difference between the two treatment groups, with regards to age, sex, number of bypass grafts, duration of the cross clamp, total perfusion time and hospital stay time were not statistically significant. Atrial Fibrillation was noted in 02 (4%) patients in Group I and 12 (24%) patients in Group II (p 0.004). Pericardial Effusion was present in 03 patients in Group I and 16 patients in Group II (p <0.001). Atrial flutter and other supraventricular arrhythmias were not statistically significant. Conclusion: Back Pericardiotomy demonstrated to be in fact simple and effective technique in diminishing the event and advancement of Pericardial Effusion and related Atrial Fibrillation (AF). Keywords: Posterior Pericardiotomy, Trial, CABG, Discharge, Pneumonic, Stomach, Nerve, Stretch and Atrial Fibrillation.

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