Hospital accomodating patients updating the 3100c
(My girl-friend also had surgery) From the moment we arrived, Dr Pichet & his staff were very helpful & always smiling.
My girlfriend & I were picked up & dropped off from airports, hotels, hospitals & Dr Pichet’s clinic at no extra charge.
M Silvana Horenstein, MD Assistant Professor, Department of Pediatrics, University of Texas Medical School at Houston; Medical Doctor Consultant, Legacy Department, Best Doctors, Inc M Silvana Horenstein, MD is a member of the following medical societies: American Academy of Pediatrics, American College of Cardiology, American Medical Association Disclosure: Nothing to disclose.
Mary L Windle, Pharm D Adjunct Associate Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference Disclosure: Nothing to disclose.
As noted earlier, tamponade occurs in approximately 1% of patients with postpericardiotomy syndrome.
Constrictive pericarditis occurs late postoperatively in fewer than 0.5% of patients but may not be related to postpericardiotomy syndrome.
In a study of 86 patients who underwent cardiac surgery, of whom 45 developed this condition and 41 did not, investigators found a significantly lower rate of mutation carriage in patients with severe postpericardiotomy syndrome (4.8%) relative to those with mild-moderate postpericardiotomy syndrome (25%) ( Cardiac tamponade is a life-threatening complication of postpericardiotomy syndrome.
This led the investigators to conclude that, in this population, postpericardiotomy syndrome was possibly secondary to cell-mediated immunity.
A study that evaluated 822 patients undergoing nonemergent valve surgery found postpericardiotomy syndrome in 119 (14.5%), with a 20.9% incidence of reoperation for tamponade at 1 year in patients who developed the syndrome compared to 2.5% in those who did not, but also having similar 1-year mortality (4.2% vs 5.5%, respectively).
Patients with postpericardiotomy syndrome also had longer median hospital stays (13 days vs 11 days, respectively) and were more likely to have had preoperative therapy for pulmonary disease without corticosteroids.) gene may affect the severity of postpericardiotomy syndrome.
The high prevalence of postpericardiotomy syndrome and quite low prevalence of constriction suggests that a direct association is unlikely.
With constriction, the pericardium becomes thickened and adherent to the heart and restricts filling of the ventricles. Patients with pain from the inflammatory response may demonstrate splinting during breathing. Monitor oxygen saturation by pulse oximetry in patients presenting with these findings.
Dr Pichet’s clinic is quite impressive, very very nice.