Journal Title: بهار 86
Article title: Comparison of Pleural and Pericardial Drainage with Medial or Lateral Thoracostomy Drain in Shariati Hospital in 1998-1999

Article PDF File:
Page From: 52 To: 59      
Article abstract:
Introduction & Objective: Complete drainage of fluid and blood from pericardial and pleural cavity after cardiac surgery is very important because the residual blood, directly or indirectly, increases morbidity or mortality. The main goal of this study was to find the best method of pericardial and pleural drainage after cardiac surgery. Materials & Methods: This study was performed in 415 patients undergoing open heart surgery in Shariati Hospital between April 1998 and March 1999. Radiological findings and pericardial and pleural effusion in terms of the drain sites and in terms of posterior pericardiotomy (groups A, B, C and D) were analyzed and evaluated in these patients. Results: In 21.7% of the patients on the 3rd postoperative day, and in 17.9% of the patients on the 7th postoperative day, pleural effusion was seen. The lateral drain with or without posterior pericardiotomy significantly reduced pleural effusion on the 3rd (p-value = 0.02) and 7th (p-value=0.0001) postoperative days in comparison with the median drain. Pericardial effusion in this study was 32.2%, whereas the drain site did not affect pericardial effusion, posterior pericardiotomy affected and reduced pericardial effusion. There was significant difference (P-value = 0.0001) in terms of pericardial effusion between groups A, B, C and D. Conclusions: This study shows the better outcome of posterior pericardiotomy and lateral (direct) drainage of pleural cavity. In patients undergoing open heart surgery, if either of the pleural spaces is opened, we recommend that a drain be directly inserted into that space laterally and that posterior pericardiotomy be also performed for them.
Article KeyWords:
Pericardial Effusion, Pleural Effusion, Cardiac Tamponad
Article Authors:

	دكتر علي صادق‌پورطبائي	First Author	Alisadeghpour@Yahoo.com
	دكتر محمدحسين ماندگار	Other Author
	دكتر عباس‌علي كريمي	Other Author
	دكتر سهيلا عارفي	Other Author