ATS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text (PDF)
Right arrow References
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Harold C. Urschel, Jr.
Maruf A. Razzuk
Michael Gardner
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Urschel, H. C.
Right arrow Articles by Gardner, M.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Urschel, H. C., Jr.
Right arrow Articles by Gardner, M.

Ann Thorac Surg 1976;22:528-531
© 1976 The Society of Thoracic Surgeons

Articles

Coronary Artery Bypass Occlusion Secondary to Postcardiotomy Syndrome

Harold C. Urschel, Jr., M.D.*, Maruf A. Razzuk, M.D., Michael Gardner, M.D.

From the Department of Thoracic and Cardiovascular Surgery, Baylor University Medical Center, and the University of Texas Health Science Center at Dallas, Dallas, TX

* Address reprint requests to Dr. Urschel, 1201 Barnett Tower, 3600 Gaston Ave, Dallas, TX 75246

Postcardiotomy syndrome following coronary vein bypass procedures may cause graft occlusion as a result of the associated myxedematous hyperemic inflammation that later forms dense obliterative fibrosis. Variability of symptoms and onset make early recognition of postcardiotomy syndrome difficult. However, the presence of the classic triad of fever, chest pain, and pleuropericardial reactions along with leukocytosis and elevated sedimentation rate should suggest the diagnosis.

Early recognition and prompt institution of steroid therapy offer relief of symptoms and regression of inflammation and probably reduce the incidence of graft occlusion. From early experience with 14 patients who developed postcardiotomy syndrome and received only symptomatic treatment, 12 developed graft occlusion, whereas in 31 subsequent patients with this syndrome who were treated with steroids, only 5 demonstrated graft occlusion.




This article has been cited by other articles:


Home page
 The Annals of PharmacotherapyHome page
D. R. Mack, W. D. Cahoon Jr, and D. K. Lowe
Colchicine for the Primary Prevention of the Postpericardiotomy Syndrome
Ann. Pharmacother., June 1, 2011; 45(6): 803 - 806.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
Y. Soga, S. Takai, T. Koyama, Y. Okamoto, T. Ikeda, K. Nishimura, M. Miyazaki, and M. Komeda
Attenuation of adhesion formation after cardiac surgery with a chymase inhibitor in a hamster model
J. Thorac. Cardiovasc. Surg., January 1, 2004; 127(1): 72 - 78.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
W. F. Konertz, M. Kostelka, F. W. Mohr, R. Hetzer, M. Hubler, J. Ritter, J. Liu, C. Koch, and J. E. Block
Reducing the incidence and severity of pericardial adhesions with a sprayable polymeric matrix
Ann. Thorac. Surg., October 1, 2003; 76(4): 1270 - 1274.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
A. Hurle, M. de la Vega, J. J. Feijoo, V. G. Ray, C. Abad, G. Ponce, and J. L. Perez-Arellano
Effect of Physical Protection on the Mesothelial Integrity of the Pericardium
Ann. Thorac. Surg., April 1, 1997; 63(4): 1091 - 1094.
[Abstract] [Full Text]

Home page
 Ann. Thorac. Surg.Home page
U. U. Nkere, S. A. Whawell, C. E. Sarraf, J. B. Schofield, J. N. Thompson, and K. M. Taylor
Perioperative histologic and ultrastructural changes in the pericardium and adhesions
Ann. Thorac. Surg., August 1, 1994; 58(2): 437 - 444.
[Abstract] [PDF]

Home page
 Arch SurgHome page
W. C. Nugent, E. L. Maislen, G. T. O'Connor, C. A. S. Marrin, and S. K. Plume
Pericardial Flap Prevents Sternal Wound Complications
Arch Surg, May 1, 1988; 123(5): 636 - 639.
[Abstract] [PDF]

Home page
 Ann. Thorac. Surg.Home page
J. R. Baker Jr., D. J. Cohen, H. D. Head, J. L. DeShong, and G. M. Graeber
Development of Circulating Antiheart Antibodies as a Result of Coronary Bypass Surgery
Ann. Thorac. Surg., May 1, 1986; 41(5): 507 - 510.
[Abstract] [PDF]

Home page
 Arch SurgHome page
T. J. Vander Salm, O. N. Okike, T. H. Marsicano, C. Compton, and E. Espinoza
Prevention of Postoperative Pericardial Adhesions: An Animal Study
Arch Surg, April 1, 1986; 121(4): 462 - 467.
[Abstract] [PDF]

Home page
 Ann. Thorac. Surg.Home page
C. W. Akins
Reoperation for Stenotic Saphenous Vein Bypass Grafts Without Cardiopulmonary Bypass
Ann. Thorac. Surg., February 1, 1983; 35(2): 201 - 206.
[Abstract] [PDF]

Home page
 Ann. Thorac. Surg.Home page
P. L. Rice, R. Pifarre, and A. Montoya
Constrictive Pericarditis Following Cardiac Surgery
Ann. Thorac. Surg., May 1, 1981; 31(5): 450 - 453.
[Abstract] [PDF]

Home page
 Ann. Thorac. Surg.Home page
J. T. Sturm, N. J. Snow, D. W. vanHeeckeren, J. A. Clayman, T. P. Horrigan, and J. L. Ankeney
Coronary Artery Bypass Grafts: Increased Flow in the Early Postoperative Period
Ann. Thorac. Surg., June 1, 1980; 29(6): 534 - 538.
[Abstract] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 1976 by The Society of Thoracic Surgeons.