Evidence map›Paper›PMID 40603058›Full record

Trial reportAnnals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia2025

Posterior Pericardiotomy and Its Impact on Cardiac Tamponade and Pericardial Effusion after Cardiac Surgery.

Ismail Al-Shameri, Abudar A Al-Ganadi, Tarq Noman, Mahdi A Kadry, Ihab M Elsharkawy, Naseem Al-Wsabi, Ayman A Mohammed

Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07266935 (A Prospective, Randomized Controlled Trial Evaluating the Effectiveness of Posterior Pericardiotomy in Preventing Postoperative Atrial Fibrillation Among Yemeni Cardiac Surgical Patients), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07266935 nacompletednot on this map

A Prospective, Randomized Controlled Trial Evaluating the Effectiveness of Posterior Pericardiotomy in Preventing Postoperative Atrial Fibrillation Among Yemeni Cardiac Surgical Patients

TypeinterventionalSponsorTaiz University - Faculty of MedicineRan2022 to 2024Enrolled210ConditionsPostoperative Atrial Fibrillation, Cardiac TamponadeArmsPosterior Pericardiotomy, Standard Care
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Ismail Al-ShameriDepartment of Cardiovascular Surgery, Cardiovascular and Kidney Transplantation Center, Faculty of Medicine, Taiz University, Taiz, Yemen.ORCID http://orcid.org/0000-0002-2849-7851
Abudar A Al-GanadiDepartment of Cardiovascular Surgery, Cardiovascular and Kidney Transplantation Center, Faculty of Medicine, Taiz University, Taiz, Yemen.
Tarq NomanDepartment of Cardiovascular Surgery, Faculty of Medicine, Sana'a University, Sana'a, Yemen.
Mahdi A KadryDepartment of Cardiovascular Surgery, Cardiovascular and Kidney Transplantation Center, Faculty of Medicine, Taiz University, Taiz, Yemen.
Ihab M ElsharkawyDepartment of Cardiothoracic Surgery, Faculty of Medicine, Cairo University, Cairo, Egypt.
Naseem Al-WsabiDepartment of Cardiovascular Surgery, Cardiovascular and Kidney Transplantation Center, Faculty of Medicine, Taiz University, Taiz, Yemen.
Ayman A MohammedDepartment of Cardiology, Faculty of Medicine, Taiz University, Taiz, Yemen.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePericardial effusion (PE), tamponade, and atrial fibrillation are challenging complications after cardiac surgeries. This prospective randomized study was conducted to evaluate the impact of posterior pericardiotomy (PP) in the prevention of PE and cardiac tamponed after adult cardiac surgery.

methodsThis single-center, prospective, randomized controlled trial included 330 patients undergoing open-heart surgery. They were randomly assigned to either a PP group or a control group.

resultsOf 703 screened patients, 330 were enrolled from January 2022 to June 2024 (mean age: 50.2 ± 14.7 years, 64.2% males). Compared to controls, the PP group had significantly lower early and late PE (19.4% vs. 44.8%, and 4.2% vs. 17%, respectively), tamponade (2.4% vs. 11.5%), and postoperative atrial fibrillation (10.3% vs. 19.4%). PP also significantly reduced the need for surgical re-exploration, duration of mechanical ventilation, and both intensive care unit and overall hospital stays (all P <0.05). Adjusted multivariate analysis confirmed the benefits of PP after correcting for baseline imbalances in left ventricular ejection fraction and operative time. No adverse events directly attributable to PP were noted.

conclusionsPP is a simple, safe, and effective technique for reducing postoperative PE, and cardiac tamponade after cardiac surgery.

Indexed as

Cardiac Surgical ProceduresCardiac TamponadePericardial EffusionPericardiectomyAdultAgedAtrial FibrillationFemaleHumansLength of StayMaleMiddle AgedProspective StudiesRisk FactorsTime FactorsTreatment Outcomepericardial effusionpericardial tamponadepost cardiac surgeryposterior pericardiotomy

Identifiers

PMID40603058
PMCPMC12229714

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.