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Incidence and predictors of pericardial effusion following surgical closure of atrial septal defect in children: A single center experience

OBJECTIVES: To evaluate the incidence of pericardial effusion (PE) after surgical atrial septal defect (ASD) closure and to investigate the presence of predictive risk factors for its development. METHODS: We collected data from 203 patients followed at Bambino Gesù Children’s Hospital of Rome who u...

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Autores principales: Campisano, Martina, Celani, Camilla, Franceschini, Alessio, Pires Marafon, Denise, Federici, Silvia, Brancaccio, Gianluca, Galletti, Lorenzo, De Benedetti, Fabrizio, Chinali, Marcello, Insalaco, Antonella
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9395979/
https://www.ncbi.nlm.nih.gov/pubmed/36016883
http://dx.doi.org/10.3389/fped.2022.882118
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author Campisano, Martina
Celani, Camilla
Franceschini, Alessio
Pires Marafon, Denise
Federici, Silvia
Brancaccio, Gianluca
Galletti, Lorenzo
De Benedetti, Fabrizio
Chinali, Marcello
Insalaco, Antonella
author_facet Campisano, Martina
Celani, Camilla
Franceschini, Alessio
Pires Marafon, Denise
Federici, Silvia
Brancaccio, Gianluca
Galletti, Lorenzo
De Benedetti, Fabrizio
Chinali, Marcello
Insalaco, Antonella
author_sort Campisano, Martina
collection PubMed
description OBJECTIVES: To evaluate the incidence of pericardial effusion (PE) after surgical atrial septal defect (ASD) closure and to investigate the presence of predictive risk factors for its development. METHODS: We collected data from 203 patients followed at Bambino Gesù Children’s Hospital of Rome who underwent cardiac surgery for ASD repair between January 2015 and September 2019. RESULTS: A total of 200/203 patients with different types of ASD were included. Patients were divided into two groups: Group 1) 38 (19%) who developed PE and Group 2) 162 (81%) without PE. No differences were noted between the two groups with regard to gender or age at the surgery. Fever in the 48 h after surgery was significantly more frequent in group 1 than in group 2 (23.7 vs. 2.5%; p < 0.0001). ECG at discharge showed significant ST-segment elevation in children who developed PE, 24.3 vs. 2.0% in those who did not (p < 0.0001). Group 1 patients were divided into two subgroups on the basis of the severity of PE, namely, 31 (81.6%) with mild and 7 (18.4%) with moderate/severe PE. Patients with moderate/severe PE had a significantly higher BMI value (median 19.1 Kg/m(2)) (range 15.9–23.4, p = 0.004). CONCLUSION: The presence of fever and ST-segment elevation after surgery predicts subsequent development of PE suggesting a closer follow-up for these categories of patients. A higher BMI appears to be associated with a higher risk of moderate/severe PE.
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spelling pubmed-93959792022-08-24 Incidence and predictors of pericardial effusion following surgical closure of atrial septal defect in children: A single center experience Campisano, Martina Celani, Camilla Franceschini, Alessio Pires Marafon, Denise Federici, Silvia Brancaccio, Gianluca Galletti, Lorenzo De Benedetti, Fabrizio Chinali, Marcello Insalaco, Antonella Front Pediatr Pediatrics OBJECTIVES: To evaluate the incidence of pericardial effusion (PE) after surgical atrial septal defect (ASD) closure and to investigate the presence of predictive risk factors for its development. METHODS: We collected data from 203 patients followed at Bambino Gesù Children’s Hospital of Rome who underwent cardiac surgery for ASD repair between January 2015 and September 2019. RESULTS: A total of 200/203 patients with different types of ASD were included. Patients were divided into two groups: Group 1) 38 (19%) who developed PE and Group 2) 162 (81%) without PE. No differences were noted between the two groups with regard to gender or age at the surgery. Fever in the 48 h after surgery was significantly more frequent in group 1 than in group 2 (23.7 vs. 2.5%; p < 0.0001). ECG at discharge showed significant ST-segment elevation in children who developed PE, 24.3 vs. 2.0% in those who did not (p < 0.0001). Group 1 patients were divided into two subgroups on the basis of the severity of PE, namely, 31 (81.6%) with mild and 7 (18.4%) with moderate/severe PE. Patients with moderate/severe PE had a significantly higher BMI value (median 19.1 Kg/m(2)) (range 15.9–23.4, p = 0.004). CONCLUSION: The presence of fever and ST-segment elevation after surgery predicts subsequent development of PE suggesting a closer follow-up for these categories of patients. A higher BMI appears to be associated with a higher risk of moderate/severe PE. Frontiers Media S.A. 2022-08-09 /pmc/articles/PMC9395979/ /pubmed/36016883 http://dx.doi.org/10.3389/fped.2022.882118 Text en Copyright © 2022 Campisano, Celani, Franceschini, Pires Marafon, Federici, Brancaccio, Galletti, De Benedetti, Chinali and Insalaco. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Pediatrics
Campisano, Martina
Celani, Camilla
Franceschini, Alessio
Pires Marafon, Denise
Federici, Silvia
Brancaccio, Gianluca
Galletti, Lorenzo
De Benedetti, Fabrizio
Chinali, Marcello
Insalaco, Antonella
Incidence and predictors of pericardial effusion following surgical closure of atrial septal defect in children: A single center experience
title Incidence and predictors of pericardial effusion following surgical closure of atrial septal defect in children: A single center experience
title_full Incidence and predictors of pericardial effusion following surgical closure of atrial septal defect in children: A single center experience
title_fullStr Incidence and predictors of pericardial effusion following surgical closure of atrial septal defect in children: A single center experience
title_full_unstemmed Incidence and predictors of pericardial effusion following surgical closure of atrial septal defect in children: A single center experience
title_short Incidence and predictors of pericardial effusion following surgical closure of atrial septal defect in children: A single center experience
title_sort incidence and predictors of pericardial effusion following surgical closure of atrial septal defect in children: a single center experience
topic Pediatrics
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9395979/
https://www.ncbi.nlm.nih.gov/pubmed/36016883
http://dx.doi.org/10.3389/fped.2022.882118
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