Evidence map›Paper›PMID 41295357›Full record

ArticleJournal of cardiovascular development and disease2025

Pericardial Closure Preserves Early Right Ventricular Function After Cardiac Surgery: A Retrospective Cohort Study.

Hannah Breuer, Marjolijn C Sales, Natasja W M Ramnath, Yusuf Shieba, Alish Kolashov, Ajay Moza, Lachmandath Tewarie, Rashad Zayat, Nima Hatam

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Article in Journal of cardiovascular development and disease, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Hannah BreuerDepartment of Cardiac Surgery, RWTH University Hospital, 52074 Aachen, Germany.
Marjolijn C SalesDepartment of Cardiac Surgery, RWTH University Hospital, 52074 Aachen, Germany.
Natasja W M RamnathDepartment of Cardiac Surgery, RWTH University Hospital, 52074 Aachen, Germany.
Yusuf ShiebaDepartment of Cardiothoracic Surgery, Faculty of Medicine, South Valley University, Qena 83523, Egypt.ORCID 0000-0002-0565-7795
Alish KolashovDepartment of Cardiothoracic Surgery, Heart Centre Trier, Barmherzigen Brueder Hospital, 54292 Trier, Germany.ORCID 0009-0000-2048-1049
Ajay MozaDepartment of Cardiac Surgery, RWTH University Hospital, 52074 Aachen, Germany.
Lachmandath TewarieDepartment of Cardiac Surgery, RWTH University Hospital, 52074 Aachen, Germany.
Rashad ZayatDepartment of Cardiac Surgery, RWTH University Hospital, 52074 Aachen, Germany.ORCID 0000-0003-2243-8743
Nima HatamDepartment of Cardiac Surgery, RWTH University Hospital, 52074 Aachen, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPerioperative right ventricular (RV) dysfunction is a frequent complication of cardiac surgery linked to poor outcomes and may result from the loss of pericardial support. We investigated whether pericardial closure preserves early postoperative RV function.

methodsWe compared patients with pericardial closure versus open pericardium. Co-primary endpoints were early postoperative RV longitudinal function by tricuspid annular plane systolic excursion (TAPSE) and tricuspid annular systolic velocity (TASV). Adjusted comparisons used analysis-of-covariance (postoperative value adjusted for baseline) with prespecified covariates (baseline outcome, LV global longitudinal strain, left-ventricular ejection fraction, LVEDVI, sex, procedure; cardiopulmonary bypass and cross-clamp times when available). Holm correction-controlled multiplicity across the co-primary endpoints. Sensitivity linear mixed-effects models (time × group) were performed.

resultsPericardial closure was associated with better early RV longitudinal function after multivariable adjustment. TAPSE: adjusted mean difference (AMD, Closed-Open) 1.531 mm (95% CI 0.130-2.931;

conclusionsPericardial closure was independently associated with improved early RV longitudinal function. These adjusted findings address baseline LV imbalances and support considering closure to preserve RV performance; confirmation in prospective trials is warranted.

Indexed as

cardiac surgerypericardial closureright ventricular functionspeckle-tracking echocardiography

Identifiers

PMID41295357
PMCPMC12653037

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