DOES BEATING HEART SURGERY TECHNIQUE REDUCE THE MORTALITY AND MORBIDITY AFTER REDO VALVE OPERATIONS?

Ufuk Mungan, Ertan Demirdas, Levent Alt?nay, Erdem Cetin, Kivanc Atilgan, Fehmi Katircioglu, Ferit Cicekcioglu

Abstract


Aim: The aim of this study was to determine the effect of beating heart technique on mortality and morbidity after redo valve operations.

Material and Method: Fifty-two patients who had redo open-heart surgery between May 2005 and November 2006 in Tkiye Ysek ?htisas Hospital included in this prospective study. All patients had a history of open-heart surgery with median sternotomy. Thirty-two patients who had redo open-heart surgery with beating heart technique were included in Group 1 and 20 patients who had redo open-heart surgery with conventional cardioplegic myocardial arrest technique were included in Group 2. Patients who had any cardiac surgery without median sternotomy were excluded.

Results: Functional capacity according to New York Heart Association classification was significantly lower and number of patients with chronic obstructive lung disease was significantly higher in Group 1 (p=0.011 and p=0.003 respectively). There was no significant difference in other preoperative variables. Operation, cardiopulmonary bypass and aortic cross-clamping times were significantly higher in Group 2 (p=0.001, p=0.003, p=0.04 respectively). Mechanical ventilation, inotropic agent support and hospitalization times were significantly higher in Group 2 (p<0.05). Intensive care unit time was significantly longer in Group 1 (p<0.05). Drainage volumes, blood product transfusion volumes, intra-aortic balloon pump support times were not significantly different between the groups.

Conclusion: Beating heart technique in redo heart valve operations has better outcomes than the conventional technique.


Keywords


Redo operation; heart valve surgery; cardioplegia; beating heart technique

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References


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DOI: http://dx.doi.org/10.24125/sanamed.v13i2.219

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Copyright (c) 2018 ufuk mungan, Ertan Demirdas, Levent Alt?nay, Erdem Cetin, Kivanc Atilgan, fehmi katircioglu, Ferit Cicekcioglu

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