Triangular posterior pericardiectomy and postoperative outcomes after coronary artery bypass grafting - Takeaways - MDSpire

Triangular posterior pericardiectomy and postoperative outcomes after coronary artery bypass grafting

  • By

  • Dawid Imiełowski

  • Piotr Feusette

  • Andrzej Tukiendorf

  • Marek Cisowski

  • June 25, 2026

  • 0 min

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  • 1

    Triangular posterior pericardiectomy (TPP) was evaluated for its impact on early and 12-month outcomes after coronary artery bypass grafting (CABG).

  • 2

    The study included 489 patients, with 347 undergoing standard surgery and 142 receiving TPP, analyzed from 2017 to 2023.

  • 3

    Four phenotypes were identified, with Phenotype 4 showing the highest TPP prevalence and the best postoperative outcomes, including no atrial fibrillation.

  • 4

    Patients with lower TPP prevalence exhibited higher CRP levels, greater drainage volumes, and increased incidence of postoperative atrial fibrillation.

  • 5

    TPP was associated with reduced inflammation, minimal pericardial effusion, and absence of early and late atrial fibrillation after CABG.

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