- CODEN : IAJPBB
- issn 2349-7750
TITLE:
SAFETY AND EFFICACY OF LEFT ANTERIOR MINITHORACOTOMY FOR CARDIAC TAMPONADE
AUTHORS:
Dr Hasnain Abbas,Dr Muhammad Saleem, Dr Nargis Bano
ABSTRACT:
Purpose: Cardiac tamponade is a life-threatening clinical entity that requires immediate treatment. Cardiac tamponade can be caused by both benign and malignant diseases. Various treatments have been described for these cases, ranging from needle-guided pericardiocentesis, balloon techniques, to surgical pericardiotomy. The authors describe their experience in the surgical treatment of cardiac tamponade and a comprehensive review of the literature. Place and Duration: In the Cardiac Surgery department of Nishter Hospital Multan for three years duration from January 2017 to January 2020. Study plan: The study involved 61 patients (37 men and 24 women) with a mean age of 61.80-16.32. All patients were taken to the surgical emergency due to heart manipulation. Results: Cardiac tamponade was caused by mild disease in 57.40% of patients. In the group of cancer patients, the most common cancers were lung cancer, breast cancer and malignant pleural mesothelioma (17-27, 87%). The mean size of pre-operative pericardial effusion in M-2D echocardiography was 30.15 ± 5.87 mm. Postoperative complications occurred in 11 patients (18%). The reoperation rate was 3.3% (2 patients) due to recurrent cardiac tamponade. 30-day mortality was 3.3%. Overall survival was 29.9 ± 20.1 months. Twenty-nine patients (47.5%) died during the follow-up period. Dividing the population into two groups, group B (mild) and group M (malignant), a statistically significant difference was found (p <0.001 in terms of survival). Conclusion: In the obtained results, an earlier anterior minithoracotomy should be considered in the surgical treatment of cardiac tamponade in patients with benign diseases and neoplasms. Key keywords: Cardiac tamponade, Minithoracotomy, Pericardial malignancies, Overall survival
FULL TEXT
Approved Journal
NLM ID:101711216 [Serial]
Included in EuroPub database
ICV 2015 - 61.16
Indexed In
S.J Impact Factor:7.157
cosmos Impact Factor:4.153
ICMJE Recommendations
IP Indexing Impact Factor: 2.76
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