Efficacy of Short-Term Oral Prednisolone Treatment in the Management of Pericardial Effusion Following Pediatric Cardiac Surgery

A standard treatment for pericardial effusion without cardiac tamponade after pediatric cardiac surgery has not been established. We evaluated the efficacy of short-term oral prednisolone administration, which is the initial treatment for postoperative pericardial effusion without cardiac tamponade...

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Bibliographic Details
Published in:Pediatric cardiology 2022-04, Vol.43 (4), p.764-768
Main Authors: Mizumoto, Masahiro, Masaki, Naoki, Sai, Sadahiro
Format: Article
Language:English
Subjects:
Cardiac Surgery
Cardiac Surgical Procedures - adverse effects
Cardiac Tamponade - drug therapy
Cardiac Tamponade - etiology
Cardiology
Child
Children
Corticosteroids
Drainage
Evaluation
Health aspects
Humans
Medicine
Medicine & Public Health
Original
Original Article
Pediatric cardiology
Pericardial Effusion - diagnosis
Pericardial Effusion - drug therapy
Pericardial Effusion - etiology
Prednisolone
Prednisolone - therapeutic use
Surgery
Vascular Surgery
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Summary:A standard treatment for pericardial effusion without cardiac tamponade after pediatric cardiac surgery has not been established. We evaluated the efficacy of short-term oral prednisolone administration, which is the initial treatment for postoperative pericardial effusion without cardiac tamponade at our institution. Between October 2008 and March 2020, 1429 pediatric cardiac surgeries were performed at our institution. 91 patients required postoperative treatment for pericardial effusion. 81 were treated with short-term oral prednisolone. Pericardial effusion was evaluated using serial echocardiography during diastole. Pericardial drainage was performed for patients with circumferential pericardial effusion with a maximum diameter of ≥ 10 mm or signs of cardiac tamponade. Short-term oral prednisolone treatment was administered to patients with circumferential pericardial effusion with a maximum diameter of 
ISSN:0172-0643
1432-1971
DOI:10.1007/s00246-021-02783-y