Post-pericardiotomy syndrome. Comparing the experiences of our hospital with the literary data
█ Original article
Lugosi Péter1, Simon Attila1, Bölcsföldi T. Barbara2, Alipour Shahpour1, Herrfurth Dóra1, Veress Gábor1
1Állami Szívkórház, Balatonfüred
2Pécsi Tudományegyetem Általános Orvostudományi Kar, Pécs
The post-pericardiotomy syndrome (PPS) is a common complication in patients who have undergone surgery that involves opening the pericardium, often diagnosed during the rehabilitation. The prevention and the treatment are controversial to this day. In our investigation we have studied the prevention and the treatment strategy and the new onset of atrial fibrillation by 85 (mean age: 64.7±12.3; 51 men) patients.
Results: In 27 patients (31.8%) occurred PPS. The preventive non-steroidal anti-inflammatory drugs (NSAIDs) did not affect the appearance of the syndrome (32.4% vs. 31.2%, N.S.). In most cases, PPS responded well to conservative therapy. In only 2.4% of our patients developed severe PPS. The new onset atrial fibrillation was significantly more common in the PPS group (22.2% vs. 3.4%, p<0.01).
Conclusion: PPS is a common but relatively benign disease. There are positive studies only with colchicine for prevention of PPS. NSAID, colchicin, or possibly steroid therapy may be useful for its treatment. The postoperative atrial fibrillation is often associated with PPS. Its appearance should cause the suspicion of the clinician to PPS and urgent echocardiography is needed in the first 3 postoperative months.