一个新的心脏手术诊所:第一年67例心脏直视手术的结果

B. Tamtekin, Güler Gülsen Ersoy, Nurcan Ayabakan Eski, I. Dal
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引用次数: 0

摘要

目的:本研究的目的是评估在一个新的心血管外科诊所第一年进行的67例心内直视手术的结果。材料和方法:回顾性评估2021年5月至2022年5月期间在我们诊所接受心脏直视手术的患者。从医院数据库中回顾性获取患者住院时间、交叉钳夹时间、并发症及死亡率资料。在数据分析中,连续变量计算平均值,分类变量显示百分比和频率值。结果:共纳入67例。对44例体外循环(CPB)患者进行了孤立性冠状动脉搭桥手术。对3例无CPB(心脏跳动)的患者行孤立性CABG手术。2例患者同时行冠状动脉搭桥和二尖瓣置换术。2例患者同时行MVR手术和三尖瓣成形术。4例患者隔离进行MVR手术。6例患者行主动脉瓣置换术(AVR)。3例患者在AVR手术的同时行升主动脉置换术。2例患者行Bentall手术,1例患者行心脏内肿瘤(黏液瘤)切除手术。1例(1.5%)患者因早期出血及心包填塞,同日行出血翻修手术。2例患者在晚期出现胸骨裂(3%)。术后死亡4例(5.9%)。结论:根据我们的研究,我们确定在我们新开设的心血管诊所进行的手术在死亡率和发病率方面可能与经验丰富的诊所相似。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A new heart surgery clinic: results of 67 open heart surgery in the first year
Aim: The aim of this study is to evaluate the results of 67 open heart surgeries performed in the first year in a new cardiovascular surgery clinic.Material and Method: Patients who underwent open heart surgery in our clinic between May 2021 and May 2022 were evaluated retrospectively. The hospitalization time, cross-clamp time, complications and mortality data of the patients were obtained retrospectively from the hospital database. In the analysis of the data, mean values were calculated for continuous variables, while percentage and frequency values were shown for categorical variables.Results: A total of 67 cases were included in the study. Isolated CABG surgery was performed on 44 patients with cardiopulmonary bypass (CPB). Isolated CABG surgery was performed on 3 patients without CPB (beating heart). CABG and mitral valve replacement (MVR) operations were performed simultaneously in two patients. MVR operation and tricuspid valve annuloplasty operations were performed simultaneously in two patients. MVR surgery was performed in four patients in isolation. Aortic valve replacement (AVR) operation was performed in 6 patients in isolation. Ascending aorta replacement was performed in three patients simultaneously with AVR operation. Bentall surgery was performed in two patients, and intra-cardiac tumor (myxoma) excision surgery was performed in one patient. Bleeding revision surgery was performed in one patient (1.5%) on the same day due to early bleeding and pericardial tamponade. Sternal dehiscence was observed in two patients in the late period (3%). Postoperative mortality was seen in a total of four patients (5.9%).Conclusion: As a result of our study, we determined that the surgeries performed in our newly opened cardiovascular clinic may have similar results to experienced clinics in terms of mortality and morbidity.
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