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Pleural Effusion after Heart Surgery

"Water On The Lungs"


Pleural effusion is a common finding after coronary artery bypass surgery (CABG).

A study was undertaken at the Shaare Zedek Medical Center, Jerusalem, Israel by O. Merin et Al.

893 consecutive patients were enrolled in the study. Initially target of the study was to show if the use of enoxaparin makes any difference. It is a medication to treat and prevent deep vein thrombosis and pulmonary embolism.

It did not prove to make any difference in the outcome, so we focus on the other findings of the study.

The results show pleural effusion (Water On The Lungs) was small in 415 patients (46%), moderate in 346 (39%) and large in 132 (15%). Older age, female gender and congestive heart failure were found to be more liable for pleural effusion.

As a Conclusions, a large number of patients develop significant pleural effusion following CABG. Since it needs treatment by drainage, prolongs the hospital stay for days or even weeks and could potentially be life threatening if large, it should be prevented.

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