Turk Gogus Kalp Damar Cerrahisi Dergisi-Turkish Journal of Thoracic and Cardiovascular Surgery最新文献

{"title":"[MEP-07] External Iliac Vein Injury and Retroperitoneal Hematoma After Femoral Dialysis Catheter Insertion: A Case Report.","authors":"Yasin Guzel, Mustafa Kemal Avşar, Burak Aydoğan, Ömer Doğan, Kaniye Aydin, Ferhat Can Piskin, Ali Mesut Misirlioglu, Kadir Yasin Güzel, Hafize Yaliniz, Mehmet Şah Topçuoğlu","doi":"10.5606/tgkdc.dergisi.2024.mep-07","DOIUrl":"https://doi.org/10.5606/tgkdc.dergisi.2024.mep-07","url":null,"abstract":"<p><p>In patients with chronic kidney disease undergoing hemodialysis, dialysis catheters are frequently used to provide vascular access. However, this procedure can lead to significant complications. Retroperitoneal hematoma is a rare but potentially life-threatening complication of femoral vein catheterization. This case report discusses the surgical management of a retroperitoneal hematoma that developed after the insertion of a left femoral dialysis catheter. A 21-year-old female patient with a known history of chronic kidney disease secondary to bilateral hydronephrosis who was on hemodialysis for five years presented to the clinic. After the insertion of a left femoral dialysis catheter, the patient developed severe abdominal pain, nausea, and vomiting. Contrastenhanced computed tomography revealed that the left femoral catheter had migrated into the retroperitoneal space, forming a large hematoma. Emergency surgical intervention was performed, including the removal of the catheter, evacuation of the retroperitoneal hematoma, and repair of the external iliac vein. Additionally, the gynecology department performed surgical intervention on an ovarian cyst, and the general surgery team controlled the bleeding. The patient had an uneventful follow-up. The literature indicates that appropriate surgical intervention positively influences prognosis in such cases. Awareness of possible complications during femoral vein catheterization can prevent delays in diagnosis and improve patient survival. As demonstrated in this case report, timely surgical intervention without removing the catheter is crucial in preventing additional complications in cases of retroperitoneal hematoma.</p>","PeriodicalId":49413,"journal":{"name":"Turk Gogus Kalp Damar Cerrahisi Dergisi-Turkish Journal of Thoracic and Cardiovascular Surgery","volume":"32 4 Suppl 2","pages":"103-104"},"PeriodicalIF":0.5,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12045163/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143992391","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[MSB-32] Comparison of Platelet Changes Between Mini-Extracorporeal Circulation and Conventional Cardiopulmonary Bypass.","authors":"Ömer Faruk Rahman, Ahmet Daylan, Mert Arslangilay, Zümra Hacıköleoğlu, Önder Turgut Bozkurt, Şahin Bozok","doi":"10.5606/tgkdc.dergisi.2024.msb-32","DOIUrl":"https://doi.org/10.5606/tgkdc.dergisi.2024.msb-32","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to evaluate the efficacy of mini-extracorporeal circulation (MECC) in reducing platelet damage compared to conventional cardiopulmonary bypass (CCPB).</p><p><strong>Methods: </strong>Sixty-seven patients (52 males, 15 females; mean age: 63.04±8.08 years) who underwent isolated coronary artery bypass grafting between August 2022 and February 2024 were retrospectively analyzed. The patients were divided into two groups: CCPB (n=37) and MECC (n=30). Demographic data, comorbidities, operative variables, laboratory values, and drainage volume data were collected from electronic medical records.</p><p><strong>Results: </strong>No significant difference in median drainage volume was found between the MECC group and the CCPB group (300 mL <i>vs.</i> 350 mL; p=0.178). There was no statistically significant difference between the groups regarding cardiopulmonary bypass time and cross-clamp time (p=0.160 and p=0.158, respectively). There was no significant difference between the groups in preoperative and postoperative platelet counts (p=0.687 and p=0.335, respectively). The mean decrease in postoperative platelet count was 0.89±3.99% in the MECC group and 13±2.98% in the CCPB group. The difference in platelet count change between the groups was found to be statistically significant (p=0.028).</p><p><strong>Conclusion: </strong>This study suggests that mini extracorporeal circulation significantly reduces postoperative platelet decline compared to conventional cardiopulmonary bypass, indicating its potential to better preserve platelet levels.</p>","PeriodicalId":49413,"journal":{"name":"Turk Gogus Kalp Damar Cerrahisi Dergisi-Turkish Journal of Thoracic and Cardiovascular Surgery","volume":"32 4 Suppl 2","pages":"056-56"},"PeriodicalIF":0.5,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12045215/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143992406","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[MSB-14] Validation of the German Registry for Acute Aortic Dissection Type A Score After Aortic Dissection Surgery.","authors":"Salih Salihi, Bilhan Özalp, Yunus Emre Yazıcı, Mehmet Kalender, Hakan Saçlı, İbrahim Kara","doi":"10.5606/tgkdc.dergisi.2024.msb-14","DOIUrl":"https://doi.org/10.5606/tgkdc.dergisi.2024.msb-14","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to evaluate how the German Registry of Acute Aortic Dissection Type A (GERAADA) score performs in predicting operative mortality for ATAAD.</p><p><strong>Methods: </strong>This retrospective study included 86 consecutive patients (60 males, 26 females; mean age: 61.37±12.96 years) who underwent surgical repair for ATAAD between January 2013 and December 2023. Data collection comprised the 11 preoperative main parameters required for calculation of the new GERAADA score: age, sex, previous cardiac surgery, inotropic support at referral, resuscitation before surgery, aortic regurgitation, hemiparesis, intubation/ ventilation at referral, preoperative organ malperfusion, extension of aortic dissection, and location of primary entry site.</p><p><strong>Results: </strong>Two (2.3%) patients had a history of previous cardiac surgery. The GERAADA scores and postoperative results were compared. The overall 30-day mortality for the entire study cohort was calculated by the GERAADA score to be 22.94% (range, 5.8 to 81%). In comparison, the actual 30-day mortality rate of the study cohort was 32.55%. The GERAADA score showed discriminative power with an area under the curve of 0.867 (95% confidence interval 0.79-0.94).</p><p><strong>Conclusion: </strong>The GERAADA score prediction of 30-day mortality after surgery is accurate, easily accessible due to its web-based platform, and can be calculated with basic preoperative clinical parameters.</p>","PeriodicalId":49413,"journal":{"name":"Turk Gogus Kalp Damar Cerrahisi Dergisi-Turkish Journal of Thoracic and Cardiovascular Surgery","volume":"32 4 Suppl 2","pages":"032-33"},"PeriodicalIF":0.5,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12045196/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144028451","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[MSB-54] The FLOZ Procedure: Enforced Ozaki Opeation As A New Option for the Aortic Root.","authors":"Mikhail Snegirev, Vladimir Noginov, Evgeniy Minin, Vidadi Efendiev","doi":"10.5606/tgkdc.dergisi.2024.msb-54","DOIUrl":"https://doi.org/10.5606/tgkdc.dergisi.2024.msb-54","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to introduce our implementation of a novel approach combining two reconstructive approaches: the Ozaki operation and the Florida sleeve procedure.</p><p><strong>Methods: </strong>The study included six male patients (range, 37 to 64 years) with the aortic root pathology requiring aortic root replacement. All operations were performed by one surgeon, and all potential benefits and disadvantages of a novel technique were thoroughly discussed with the patients. Three patients had aortic stenosis with the aortic root dilatation, and three patients had aortopathy with aortic insufficiency, where aortic cusps were not subject to repair. All operations were accomplished by performing the Florida sleeve part of the operation first, completing the operation by implanting autopericardial cusps in appropriate sizes, as in the Ozaki technique.</p><p><strong>Results: </strong>There was no mortality or major morbidity after these operations. The mean cross-clamp time was 98±21 min. All patients spent one to two days in the intensive care unit. The mean follow-up time was 12±6 months. None of the patients developed more than Grade 1 aortic insufficiency postoperatively. None of the patients required warfarin.</p><p><strong>Conclusion: </strong>The findings demonstrate that the reconstructive approach of the reinforced Ozaki root repair, termed the FLOZ (Florida + Ozaki) operation, may be safely and reproducibly performed in a wide cohort of patients requiring aortic root management.</p>","PeriodicalId":49413,"journal":{"name":"Turk Gogus Kalp Damar Cerrahisi Dergisi-Turkish Journal of Thoracic and Cardiovascular Surgery","volume":"32 4 Suppl 2","pages":"080-80"},"PeriodicalIF":0.5,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12045179/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144044458","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[MEP-18] Removal of Huge Cardiac Fibroma from the Right Ventricle in an Infant: Video Presentation.","authors":"Yakup Tire, Bahar Temur, Selim Aydin, Ersin Erek","doi":"10.5606/tgkdc.dergisi.2024.mep-18","DOIUrl":"https://doi.org/10.5606/tgkdc.dergisi.2024.mep-18","url":null,"abstract":"<p><p>Cardiac fibromas are rare primary benign tumors. They may cause symptoms such as intracavitary obstruction, coronary artery compression, thromboembolic events, conduction defects, and sudden death. They are typically intramural and are often found in the ventricles. In this video article, the surgical excision of a cardiac fibroma measuring 6.2×5×4.3 cm originating from the anterior wall of the right ventricle in an 11-month-old infant was presented. The tumor was located in the anterior wall of the right ventricle. Since exposure was insufficient from the right atrium, intervention could not be performed from within the tricuspid valve. The right ventricle infundibulum was opened from a position away from the mass. The mass, which was seen to be unencapsulated and elastic in consistency, was dissected and stripped from the myocardial tissue. A second incision was made in the right ventricular free wall for the mass that was highly adherent to the anterior wall of the right ventricle and was seen to have thinned the ventricular wall to a great extent. The tumor was completely excised together with the thinned ventricular tissue in the anterior wall. The defect formed by the excision of the highly thinned right ventricular myocardium was closed with 5-0 Prolene sutures, supported by an autogenous pericardial patch. Transesophageal echocardiography revealed that the tumor was completely removed, and the right ventricular and tricuspid valve functions were good. While surgical treatment is curative, total excision may sometimes be difficult or impossible. Nonetheless, partial resections also have a favorable prognosis. Since the involvement of the ventricular septum causes conduction defects and arrhythmias, it is associated with a poor prognosis. For surgical planning, the proximity to critical structures such as the septum, valves, conduction system, and coronary arteries should be rigorously evaluated.</p>","PeriodicalId":49413,"journal":{"name":"Turk Gogus Kalp Damar Cerrahisi Dergisi-Turkish Journal of Thoracic and Cardiovascular Surgery","volume":"32 4 Suppl 2","pages":"112-113"},"PeriodicalIF":0.5,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12045206/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144041800","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[MSB-18] Impact of Posterior Pericardiotomy on Postoperative Clinical Outcomes in Isolated Coronary Artery Bypass Surgery.","authors":"Ufuk Türkmen, Görkem Yiğit, Kudret Atakan Tekin, Ayla Ece Çelikten, Ertekin Utku Ünal","doi":"10.5606/tgkdc.dergisi.2024.msb-18","DOIUrl":"https://doi.org/10.5606/tgkdc.dergisi.2024.msb-18","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to evaluate the effectiveness of posterior pericardiotomy in preventing cardiac tamponade and its impact on clinical outcomes in patients undergoing isolated coronary artery bypass grafting (CABG).</p><p><strong>Methods: </strong>This retrospective study included 384 elective patients who underwent isolated CABG between 2021 and 2024. Patients who underwent posterior pericardiotomy (Group 1) were compared with those who did not (Group 2). Group 1 included 178 patients (135 males, 53 females; mean age: 62.62±8.78 years), while Group 2 included 122 patients (98 males, 24 females, mean age 61.92±8.95 years). Clinical outcomes of patients who underwent revision surgery were analyzed.</p><p><strong>Results: </strong>Post-intensive care unit (ICU) hospital stay (p<0.001), total hospital stay (p<0.001), rate of revision surgery (p=0.027), posterior tamponade (p=0.001), and postoperative atrial fibrillation (POAF; p=0.034) were significantly higher in Group 1. In patients who underwent revision surgery, ICU stay (p<0.001), total hospital stay (p<0.001), posterior pericardial window opening (p=0.026), postoperative inotropic support requirement (p<0.001), tube thoracostomy due to pleural effusion (p=0.002), posterior tamponade (p<0.001), POAF (p<0.001), intra-aortic balloon pump usage (p<0.001) were significantly higher compared to those who did not undergo revision surgery. Receiver operating characteristic analysis and the area under the curve demonstrated that the model's performance in predicting these variables was moderate to good.</p><p><strong>Conclusion: </strong>Posterior pericardiotomy effectively reduces the incidence of POAF and posterior pericardial tamponade without increasing postoperative complications, suggesting it is a beneficial technique in CABG.</p>","PeriodicalId":49413,"journal":{"name":"Turk Gogus Kalp Damar Cerrahisi Dergisi-Turkish Journal of Thoracic and Cardiovascular Surgery","volume":"32 4 Suppl 2","pages":"037-37"},"PeriodicalIF":0.5,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12045171/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144065041","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[MSB-44] Evaluation of Sternum Closure Methods with Clinical Results in Open Heart Surgery.","authors":"Yusuf Kuşçu, Dilşad Amanvermez Şenarslan, Ahmet İhsan İşkesen","doi":"10.5606/tgkdc.dergisi.2024.msb-44","DOIUrl":"https://doi.org/10.5606/tgkdc.dergisi.2024.msb-44","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to investigate the clinical results of sternum closure methods after open heart surgery with median sternotomy.</p><p><strong>Methods: </strong>This retrospective study screened 2,662 patients who underwent open heart surgery. Classical steel wire, Flexigrip + steel wire combination, sternal cable, sternal band, and Robicsek were used as sternum closure methods in patients. The causality relationships of sternal dehiscence, diabetes mellitus, chronic obstructive pulmonary disease, impaired kidney function, and demographic characteristics of the patients were investigated.</p><p><strong>Results: </strong>Ninety-six patients developed dehiscence, and 60% of them had diabetes, 25% had impaired renal function, and 21% had chronic obstructive pulmonary disease. The treatment success rate was 88% when using the Flexigrip + steel wire combination in patients undergoing sternal dehiscence repair, and the treatment success rate was 76% using a standard steel wire. The combination of Flexigrip + steel wire significantly reduced the risk of sternal dehiscence compared to the use of classical steel wire in sternal closure. Vacuum-assisted closure devices were beneficial in draining wounds and shortened the healing time.</p><p><strong>Conclusion: </strong>Flexigrip + steel wire combination in sternal closure significantly reduced the risk of sternal dehiscence in patients with diabetes mellitus, chronic obstructive pulmonary disease, and impaired kidney function.</p>","PeriodicalId":49413,"journal":{"name":"Turk Gogus Kalp Damar Cerrahisi Dergisi-Turkish Journal of Thoracic and Cardiovascular Surgery","volume":"32 4 Suppl 2","pages":"069-70"},"PeriodicalIF":0.5,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12045244/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144024488","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[MEP-03] Repair of the Cardiac Erosion Because of the Occluder Device, A Challenging Situation.","authors":"Huseyin Demirtas, Abdullah Ozer, Mehmet Burak Gulcan, Issa Shide, Yonca Durkan, Gürsel Levent Oktar, Gülten Tacoy","doi":"10.5606/tgkdc.dergisi.2024.mep-03","DOIUrl":"https://doi.org/10.5606/tgkdc.dergisi.2024.mep-03","url":null,"abstract":"<p><p>Atrial septal defect is the most common congenital heart disease in adults. Atrial septal occluder devices are popular for treating secundum atrial septal defects. However, it has risks of complications such as cardiac tissue erosion, thrombus, and effusion. A 63-year-old female patient with atrial septal erosion who underwent intervention for secundum atrial septal defect three years ago presented to the clinic. We removed the occluder device and successfully repaired the atrial septum with bovine. While intravascular techniques have been developed for the closure of atrial septal defects, surgery remains important in treatment. Furthermore, occluder devices have important risks. This case demonstrates a successful repair after cardiac tissue erosion due to the occluder device.</p>","PeriodicalId":49413,"journal":{"name":"Turk Gogus Kalp Damar Cerrahisi Dergisi-Turkish Journal of Thoracic and Cardiovascular Surgery","volume":"32 4 Suppl 2","pages":"099-100"},"PeriodicalIF":0.5,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12045209/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144055898","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[MSB-55] Surgical Treatment of Infective Endocarditis.","authors":"Özer Kandemir, Murat Koç, Bahadır Gültekin, Ufuk Mungan, Kaan Kaya, İbrahim Duvan, Ferit Çiçekçioğlu","doi":"10.5606/tgkdc.dergisi.2024.msb-55","DOIUrl":"https://doi.org/10.5606/tgkdc.dergisi.2024.msb-55","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to offer an analysis of our surgical experience in patients with active infective endocarditis (IE).</p><p><strong>Methods: </strong>The retrospective study included 29 patients who underwent surgery for active IE between December 1, 2022, and August 31, 2024. Patients received valve replacement or repair, debridement of infected tissues, or explantation and replacement of infected prosthetic devices.</p><p><strong>Results: </strong>The operative and early mortality rate was 30% (n=9). Postoperative complications occurred in 24.1% of patients. Advanced age, heart failure, prosthetic valve endocarditis, and <i>Staphylococcus aureus</i> infection were associated with higher mortality rates. Postoperative complications included reexploration of the thoracic cavity, pacemaker implantation, hemodialysis, deep sternal infections, and further valve surgery for three patients.</p><p><strong>Conclusion: </strong>Surgical treatment of IE remains crucial and life-saving, particularly for patients unresponsive to antibiotic therapy or those with complications. Early diagnosis, prompt antibiotic initiation, and timely surgical intervention are essential for optimal outcomes.</p>","PeriodicalId":49413,"journal":{"name":"Turk Gogus Kalp Damar Cerrahisi Dergisi-Turkish Journal of Thoracic and Cardiovascular Surgery","volume":"32 4 Suppl 2","pages":"081-81"},"PeriodicalIF":0.5,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12045200/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144058520","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[MSB-07] Optimizing Postoperative Cardiac Tamponade Outcomes With Posterior Pericardial Window.","authors":"Mete Kubilay Kasap, Özgür Çoban, Nazenin Durak, Funda Tor Ocak","doi":"10.5606/tgkdc.dergisi.2024.msb-07","DOIUrl":"https://doi.org/10.5606/tgkdc.dergisi.2024.msb-07","url":null,"abstract":"<p><strong>Objective: </strong>The study aimed to assess the posterior pericardial windows technique in the management of pericardial effusion following cardiac surgery.</p><p><strong>Methods: </strong>This single-center study examined the data of 1,752 patients who underwent cardiac surgery from 2018 onwards, excluding those who had off-pump coronary artery bypass grafts or emergency surgeries for conditions such as type 1 aortic dissection or infective endocarditis. Of the included patients, a posterior pericardial window was created in 349. The posterior pericardial window was created using electrocautery before the implantation of prosthetic valves or distal anastomosis. No other procedural changes were made.</p><p><strong>Results: </strong>Postoperative drainage rates were monitored. Drains were removed on the second day after surgery. Of the patients with a posterior pericardial window, eight (2.3%) required revision due to tamponade within the first two postoperative days, compared to 53 (3.7%) of the patients without a posterior pericardial window. Patients who required revision were discharged on average seven days later, while those who did not require revision were discharged after five days.</p><p><strong>Conclusion: </strong>The early detection and effective management of cardiac tamponade are crucial due to the potentially life-threatening outcomes. This study highlights the value of the posterior pericardial window technique in reducing complications associated with pericardial effusion following cardiac surgery. The findings support the need for further research to improve surgical approaches and enhance patient outcomes and safety.</p>","PeriodicalId":49413,"journal":{"name":"Turk Gogus Kalp Damar Cerrahisi Dergisi-Turkish Journal of Thoracic and Cardiovascular Surgery","volume":"32 4 Suppl 2","pages":"024-24"},"PeriodicalIF":0.5,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12045246/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144037864","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}