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Published on: September 15, 2023
[Pleural effusion following coronary bypass surgery]
Ofer Merin1, Deeb Maher, Shuli Silberman
1Shaare Zedek Medical Center, Jerusalem, Israel. merin@szmc.org.il
Over half of patients develop pleural effusion after coronary artery bypass surgery (CABG). Enoxaparin treatment does not increase this risk, with older age, female gender, and heart failure being key predictors.
Area of Science:
- Cardiology
- Thoracic Surgery
- Pulmonology
Context:
- Pleural effusion is a frequent complication following coronary artery bypass surgery (CABG).
- Understanding predictors and the impact of anticoagulation is crucial for patient management.
Purpose:
- To determine the incidence of pleural effusion post-CABG.
- To identify patient characteristics associated with pleural effusion.
- To evaluate the effect of enoxaparin on pleural effusion development.
Summary:
- A retrospective study of 893 patients undergoing CABG analyzed pleural effusion incidence and predictors.
- Older age, female gender, and congestive heart failure were identified as significant predictors of pleural effusion.
- Enoxaparin use was not associated with an increased risk of pleural effusion.
Impact:
- Findings suggest over 50% of CABG patients experience significant pleural effusion.
- Enoxaparin prophylaxis does not appear to elevate the risk of post-CABG pleural effusion.
- Identifies key demographic and clinical factors for predicting effusion risk.
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