Factor Information
Data ID 3690
Factor The prevalence of effusion
Description The prevalence of effusion after Fontan-type procedures (60%, 6 of 10) was significantly higher than that after other types of cardiac surgery: repair of left to right shunts (22.1%, 43 of 195), repair of lesions with right ventricular outflow tract obstruction (22.6%, 19 of 84), arterial switch operation (6.7%, 1 of 15), and miscellaneous procedures (25%, 8 of 32) (p = 0.037).
Biomarker NA
Classification A3 (clinical factor - disease & symptom)
Association
Application prognosis
Objective To determine the prevalence and time course of pericardial effusion after open heart surgery for congenital heart diseases and to identify predisposing risk factors.
p Value 0.037
Conclusion Pericardial effusion occurs commonly after open heart surgery for congenital heart disease. Serial echocardiographic monitoring up to 28 days postoperatively is indicated in selected high risk patients such as those with symptoms of postpericardiotomy syndrome and those given warfarin.
Risk Factor unknown
CHD Type
ID 689
CHD Type isolated CHD/non-isolated CHD
CHD Subtype LTRS/TOF/TOF, PA/VSD, PS/TGA/APVR/LVOTO
Reference
PMID 12807856
Year 2003
Title Pericardial effusion after open heart surgery for congenital heart disease.
Sample
Population neonates/children/adults
Source N/A
Region Hong Kong, China
Method Hewlett-Packard ultrasound machine (Sonos 1500 or 5500) to assess development of pericardial effusion. Pericardial effusion was assessed in the standard parasternal short axis, long axis, apical four chamber, and subcostal views.
Race Asian
Disease History N/A
Treatment History open heart surgery
Group Fontan-type procedures(Treatment) repair of left to right shunts/repair of lesions with right ventricular outflow tract obstruction/arterial switch operation/and miscellaneous procedures(Control)
Number 6(total: 10) repair of left to right shunts: 43/ repair of lesions with right ventricular outflow tract obstruction: 19/ arterial switch operation: 1/miscellaneous procedures: 8
Age N/A N/A
Gender (Male: Female) N/A N/A
Marker Level 0.6 repair of left to right shunts: 22.1%, repair of lesions with right ventricular outflow tract obstruction: 22.6%, arterial switch operation: 6.7%, miscellaneous procedures: 25%