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Ann Thorac Surg 1985;39:27-29
© 1985 The Society of Thoracic Surgeons

Articles

Late Postoperative Tamponade Following Coronary Artery Bypass Grafting in Patients on Antiplatelet Therapy

Robert H. Breyer, M.D.*, John A. Rousou, M.D., Richard M. Engelman, M.D., Stanley Lemeshow, Ph.D.

From the Baystate Medical Center, Springfield, MA, and the University of Connecticut School of Medicine, Farmington, CT

Accepted for publication March 26, 1984.

* Address reprint requests to Dr. Breyer, Baystate Medical Center, 759 Chestnut St, Springfield, MA 01107

Myocardial revascularization was performed in 1,361 patients over a 66-month period (February, 1978 to August, 1983) without a single occurrence of late cardiac tamponade. During a subsequent 4-month-period, aspirin and dipyridamole were administered routinely to all coronary bypass patients. The incidence of late cardiac tamponade rose significantly (p < 0.001) to 3 of 85 patients (3.5%). Routine perioperative administration of aspirin and dipyridamole to patients undergoing myocardial revascularization may be associated with an increased incidence of delayed cardiac tamponade.




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