The effective treatment of postpericardiotomy syndrome after cardiac operations

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Role of diclofenac in the prevention of postpericardiotomy syndrome after cardiac surgery

OBJECTIVE Postpericardiotomy syndrome (PPS), which is thought to be related to autoimmune phenomena, represents a common postoperative complication in cardiac surgery. Late pericardial effusions after cardiac surgery are usually related to PPS and can progress to cardiac tamponade. Preventive measures can reduce postoperative morbidity and mortality related to PPS. In a previous study, diclofen...

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Colchicine as an effective treatment for postpericardiotomy syndrome following a lung lobectomy.

Postpericardiotomy syndrome (PPS) is a frequent complication of various cardiac procedures that involve entry into the pericardium, but rarely occurs after pulmonary surgery because the pericardium is usually preserved during this procedure. The standard treatment for PPS is the administration of non-steroidal anti-inflammatory drugs (NSAIDs). Recent studies have indicated however, that colchic...

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Chronic Postpericardiotomy Syndrome and Cardiac Tamponade Lasting for Two Years after Open Heart Surgery

Postpericardiotomy syndrome (PPS) is a major cause of morbidity after cardiac surgery and may cause bypass graft closure and fatal cardiac tamponade. Treatment modalities include nonsteroidal antiinflammatory drugs, corticosteroids, diuresis, drainage, and pericardiectomy in severe cases. Usually the syndrome lasts weeks only, and persistence beyond six months is exceptional. We describe a 64-y...

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Viral Illness and the Postpericardiotomy Syndrome

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The Postpericardiotomy syndrome and antiheart antibodies.

In a prospective, double-blind study, heart-reactive antibody in high titer was detected, using an indirect immunofluorescent technique, in the serum of patients in whom the postpericardiotomy syndrome developed after intrapericardial surgery. The syndrome occurred in 26 of 86 consecutive longterm survivors of such surgery, an incidence of 30%. Presence of antibody correlated closely with the c...

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ژورنال

عنوان ژورنال: The Journal of Thoracic and Cardiovascular Surgery

سال: 1990

ISSN: 0022-5223

DOI: 10.1016/s0022-5223(19)35571-0