{"id":5149,"date":"2025-09-15T14:03:56","date_gmt":"2025-09-15T12:03:56","guid":{"rendered":"https:\/\/cvja.co.za\/journal\/?p=5149"},"modified":"2026-05-05T13:57:07","modified_gmt":"2026-05-05T11:57:07","slug":"cvja-2025-044","status":"publish","type":"post","link":"https:\/\/cvja.co.za\/journal\/cvja-2025-044\/","title":{"rendered":"Impact of posterior pericardiectomy vs. posterior pericardial Hemovac drainage on POAF and fluid management in CABG patients"},"content":{"rendered":"    <div id=\"article\">                                                                                                                        \r\n        <div id=\"title-container\">                                                                                                    \r\n        <div id=\"authors-title\">                                                                                                            \r\n        <!--Aurthors under Title-->                                                                                                            \r\n            \r\nBatuhan Yaz\u0131c\u0131, U\u011fur \u015eener, Zinar Apayd\u0131n, Mustafa Can Kaplan, Tahsin Murat Tellio\u011flu, Alk\u0131m Ate\u015fli Yaz\u0131c\u0131, Bar\u0131\u015f Timur                                                                                              \r\n        <\/div>        \r\n<\/div>                                                                                                                            \r\n            <div id=\"copyright\">\r\n        <strong>Copyright:<\/strong> Clinics Cardive Publishing (Pty) Ltd. publisher\r\n        of Cardiovascular Journal of Africa.<\/div>\r\n    <div style=\"clear: both;\"><\/div>                                                                                                                                \r\n        <div id=\"article-abstract\">                                                                                                            \r\n            <div id=\"abstract-title\">                                                                                                        \r\n                    Abstract                                                                                                                \r\n                <\/div>                                                                                                                        \r\n                                                                                                                                \r\n            <div id=\"abstract-content\">                                                                                                        \r\n            <!--Content of Abstract Article-->                                                                                                \r\n            <!--<strong>\"Abstract titles\":<\/strong>-->                                                                                        \r\n            <!--<br\/> at the end of each section!!-->                                                                                        \r\n                                                                                                                                            \r\n        <strong>Objective:<\/strong>                                                                                                    \r\n                                                                                                                                                    \r\nThis study compares posterior pericardiectomy (PP) and posterior pericardial Hemovac drainage (PPHD) in terms of their effects on post-operative atrial fibrillation (POAF) incidence in patients undergoing coronary artery bypass grafting (CABG).                                                                                                \r\n                <br \/>                                                                                                                            \r\n                                                                                                                                                \r\n        <strong>Methods:<\/strong>                                                                                                    \r\n                                                                                                                                                    \r\nA total of 149 patients (mean age 59.6 \u00b1 7.5 years, 75.8% male) were included in this study. Patients were divided into two groups based on the drainage technique. Demographic characteristics, perioperative parameters, and post-operative POAF incidence were analysed.                                                                                                      \r\n                <br \/>        \r\n                \r\n                <strong>Results:<\/strong>                                                                                                    \r\nPOAF incidence was 8.9% in the PP group and 5.1% in the PPHD group, but the difference was not statistically significant (p = 0.385). The first 24-hour drainage volume was significantly higher in the PPHD group (p = 0.034), whereas left thoracic drainage was more pronounced in the PP group (p<0.001). Residual pleural effusion was more frequent in the PP group compared to the PPHD group (15.6% vs. 3.4%, p = 0.019)\r\n                <br \/>\r\n                                                                                                                                                                                                                                                                        \r\n                                                                                                                                                \r\n        <strong>Conclusion:<\/strong>                                                                                                    \r\n                                                                                                                                                    \r\nAlthough the difference in POAF incidence between the two groups was not statistically significant, PPHD demonstrated more effective early drainage and resulted in less residual pleural effusion.                                                                                                \r\n                <br \/>        \r\n\r\n                                                                                                                                                \r\n            <\/div>                                                                                                                            \r\n        <\/div>                                                                                                                                    \r\n                                                                                                                                        \r\n                                                                                                                                                \r\n        <div id=\"keywords\">                                                                                                                    \r\n                                                                                                                                            \r\n            <strong>Keywords:<\/strong>                                                                                                        \r\n                                                                                                                                            \r\n            <strong>pericardiotomy, pericardial effusion, coronary artery bypass, atrial fibrillation, postoperative period<\/strong>                                                                                                                                                                                                                    \r\n                                                                                                                                                \r\n        <\/div>                                                                                                                                    \r\n                                                                                                                                                \r\n    <div id=\"publish-info\">                                                                                                                    \r\n                                                                                                                                \r\n    <strong>Submitted:<\/strong> March 11, 2025; <!--Month day, year; -->    \r\n    <strong>Accepted:<\/strong> April 23, 2025; <!--Month day, year; -->                                                                            \r\n    <strong>Published:<\/strong> September 15, 2025<!--Month day, year; -->                                                                                                                            <br \/>                                                            \r\n        <em>Cardiovasc J Afr 2025; <b>36<\/b>: 335-339<!--pg no. till pg no. \"eg. 4-7\"--><\/em>\r\n        <br \/><strong>Volume 36, Issue 3<\/strong> <br \/>                                                                            \r\n        <\/div>                                                                                                                            \r\n                                                                                                                                        \r\n    <div id=\"DOI\">                                                                                                                    \r\n            DOI Citation Reference: dx.doi.org\/10.5830\/CVJA-2025-044<!--DOI number-->                                                                \r\n        <\/div>                                                                                                                            \r\n                \r\n                <div id=\"author-affiliation\">                                                                                                \r\n                                                                                                                                        \r\n                <strong>Hatay Training and Research Hospital, Cardiovascular Surgery Department, Hatay, 31027, T\u00fcrkiye\r\n<\/strong>    <br \/>                                                                            \r\nBatuhan Yaz\u0131c\u0131<br \/>\r\nTahsin Murat Tellio\u011flu\r\n<br \/><br \/>\r\n\r\n                <strong>Gaziantep City Hospital, Cardiovascular Surgery Department, Gaziantep, 27104, T\u00fcrkiye\r\n\r\n<\/strong>    <br \/>                                                                            \r\nU\u011fur \u015eener\r\n\r\n<br \/><br \/>\r\n\r\n                <strong>Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, Cardiovascular Surgery Department, Istanbul, 34303, T\u00fcrkiye\r\n\r\n<\/strong>    <br \/>                                                                            \r\nZinar Apayd\u0131n<br \/>\r\nBar\u0131\u015f Timur\r\n<br \/><br \/>\r\n\r\n                <strong>Artvin State Hospital, Cardiovascular Surgery Department, Artvin, 08100, T\u00fcrkiye\r\n\r\n<\/strong>    <br \/>                                                                            \r\nMustafa Can Kaplan\r\n<br \/><br \/>\r\n\r\n                <strong>Hatay Training and Research Hospital, Cardiology Department, Hatay, 31027, T\u00fcrkiye\r\n\r\n\r\n<\/strong>    <br \/>                                                                            \r\nAlk\u0131m Ate\u015fli Yaz\u0131c\u0131\r\n\r\n<br \/><br \/>\r\n                                                                                                                                                                                                                                        \r\n\r\n                [soshsc hide=\"logged\"]\r\n                <strong>You need to be <a style=\"color: #c80c44;\" href=\"https:\/\/cvja.co.za\/journal\/member-login\/\" target=\"_blank\" rel=\"noopener\">logged in to view and download<\/a> the full text PDF version. <a style=\"color: #c80c44;\" href=\"https:\/\/cvja.co.za\/journal\/register\/\" target=\"_blank\" rel=\"noopener\">Register for a free account?<\/a><\/strong> <br \/><br \/>[\/soshsc]\r\n                \r\n                \r\n                \r\n                <\/div>\r\n    \r\n<\/div>","protected":false},"excerpt":{"rendered":"<p>This study compares posterior pericardiectomy (PP) and posterior pericardial Hemovac drainage (PPHD) in terms of their effects on post-operative atrial fibrillation (POAF) incidence in patients undergoing coronary artery bypass grafting (CABG).<\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[44,107],"tags":[],"class_list":["post-5149","post","type-post","status-publish","format-standard","hentry","category-cardiovascular-topics","category-volume-36-issue-3"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.0 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Impact of posterior pericardiectomy vs. posterior pericardial Hemovac drainage on POAF and fluid management in CABG patients - Cardiovascular Journal of Africa<\/title>\n<meta name=\"description\" content=\"This study compares posterior pericardiectomy (PP) and posterior pericardial Hemovac drainage (PPHD) in terms of their effects on 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