Posterior Pericardiotomy: Historical Perspective, Current Techniques, and Clinical Outcomes
This narrative review examines posterior pericardiotomy as a simple intraoperative strategy to improve pericardial drainage after cardiac surgery. Evidence shows that posterior pericardiotomy reduces postoperative pericardial effusion, cardiac tamponade, and atrial fibrillation by facilitating fluid egress and limiting pericardial inflammation. Despite guideline support, the technique remains underutilized. Wider adoption may reduce drain‑related complications and reinterventions.
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