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©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Cardiol. Oct 26, 2025; 17(10): 110793
Published online Oct 26, 2025. doi: 10.4330/wjc.v17.i10.110793
Published online Oct 26, 2025. doi: 10.4330/wjc.v17.i10.110793
Posterior pericardiotomy: An effective strategy for reducing post-coronary artery bypass grafting complications, with considerations for pleural effusion risk
Muneeb Khawar, Syed Abdullah Shah, Abdullah Waseem, Hanan Saeed, Muneeb Saifullah, Department of Medicine, King Edward Medical University, Lahore 54000, Punjab, Pakistan
Ayesha Khan, Ayesha Fatima, Department of Medicine, Nishtar Medical University And Hospital, Multan 66000, Punjab, Pakistan
Abbas Muhammad Mehdi, Department of Medicine, International School of Medicine, International University of Kyrgyzstan, Bishkek 720065, Kyrgyzstan
Abdul Qadeer, Department of Medicine, Mayo Clinic Phoenix, Arizona City, AZ 5777 E, United States
Mirza Muhammad Hadeed Khawar, Department of Medicine, Services Institute of Medical Sciences, Lahore 54000, Punjab, Pakistan
Author contributions: Khawar M and Shah SA led the conceptualization, methodology, formal analysis; Khan A, Waseem A, Saeed H, and Fatima A led software, validation, investigation; Khawar M, Shah SA, Khan A, Waseem A, Saeed H, Fatima A, Saifullah M, Mehdi AM, Qadeer A, and Hadeed Khawar MM wrote and reviewed the manuscript; and all authors thoroughly reviewed and endorsed the final manuscript.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
PRISMA 2009 Checklist statement: The authors have read the PRISMA 2009 Checklist, and the manuscript was prepared and revised according to the PRISMA 2009 Checklist.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Abbas Muhammad Mehdi, MD, Department of Medicine, International School of Medicine, International University of Kyrgyzstan, 6 Seven April Street, Bishkek 720065, Kyrgyzstan. malikmehdi0508@gmail.com
Received: June 16, 2025
Revised: July 16, 2025
Accepted: September 17, 2025
Published online: October 26, 2025
Processing time: 131 Days and 13.5 Hours
Revised: July 16, 2025
Accepted: September 17, 2025
Published online: October 26, 2025
Processing time: 131 Days and 13.5 Hours
Core Tip
Core Tip: Posterior pericardiotomy is considered a safe and effective intervention for coronary artery bypass grafting to reduce complications. Our meta-analysis reported a significant reduction in postoperative atrial fibrillation, cardiac tamponade, early and late pericardial effusion, and the length of hospital stay, while improving postoperative outcomes. However, due to the limitations of our study and heterogeneity recorded in some of our outcomes calls for a systematic approach for postoperative protocols and surgical interventions.