Open AccessHaemodynamic Effects of Pericardial Closure after Cardiac Surgery
Author(s) -
Saurabh Ks,
Padhy Ak,
Madhur Kumar,
Ridhika Munjal,
Anunay Gupta
Publication year - 2020
Publication title -
perspectives in medical research
Language(s) - English
Resource type - Journals
eISSN - 2348-229X
pISSN - 2348-1447
DOI - 10.47799/pimr.0801.16
Subject(s) - medicine , pericardium , cardiology , hemodynamics , closure (psychology) , cardiac surgery , diastole , mitral valve replacement , surgery , mitral valve , blood pressure , market economy , economics
Whether pericardial closure should be done ornot is still a debated topic. While many studies favourpericardial closure after cardiac surgery, many are still not infavour of the same.Objective : Objective of this study was to analyse the changesinduced by pericardial closure on the haemodynamic of thepatient using easily measurable variables.Methods : Data of 30 patients were analysed of which 14underwent mitral valve replacement, 10 underwent coronaryartery bypass grafting and 6 underwent double valvereplacement.Results:There was statistically significant change in cardiac output(p<0.01), central venous pressure (p<0.05) and left ventricularend diastolic diameter (p<0.01) after pericardial closure.Clinically the pericardial closure was well tolerated.Conclusion: Despite exhaustive experience, the topic of closingpericardium is still debated. Our study shows that clinicallypericardial closure is well tolerated and in return it alsosafeguards the risks associated with re-do operations