2Department of Cardiovascular Surgery, Gaziantep University Faculty of Medicine, Gaziantep, Turkey
3Department of Cardiovascular Surgery, Antalya Private Yaşam Hospital, Antalya, Turkey
Abstract
Objective: We aimed to represent outcomes of open heart surgeries which began first in April 2006.
Materials and Methods: One thousand two hundred thirtyeight open heart surgery procedures were performed in two hospitals between February 2006 and April 2012. Mean age was 58.31±14.45. Seventy-one patients underwent emergency surgery. Nine hundred and forty patients underwent coronary artery bypass grafting (CABG) surgery with the diagnosis of coronary artery disease. Coronary artery bypass grafting surgery with carotid artery endarterectomy was performed in 11 patients. Two hundred and twenty patients (17.7%) were perated
on for heart valve surgery. Aortic surgery was performed in 20 patients. Ascending aorta replacement surgery was performed in 7 patients, descending aorta replacement surgery was performed in 1 patient, ascending aorta replacement surgery and CABG surgery were performed in 1 patient, Bentall and Cabrol surgery procedure was performed in 12 patients. Seven patients were operated on with the diagnosis of myxoma.
Congenital heart surgery operation was performed in 52 patients (4.2%).
Results: Mean cross clamping time was 68.41±28.71 minutes and mean perfusion time was 96.58±35.99 minutes in patients who had CABG surgery or cardiopulmonary bypass. Mean distal anastomosis number was 2.94±0.9 (1-6). Coronary artery endarterectomy was performed in 102 patients (10.8%). Left ventricule aneurysm was operated on in 11 patients who had CABG surgery. Intraaortic balloon pump was inserted in 62 patients (5%) for low cardiac output. Hospital mortality rate was 4.2%. Mean intensive care unit hospitalization time was 2.3±0.6 days, mean hospitalization time was 6.2±2.4 days.
Conclusion: Open heart surgery has continued in 2 centers with accelerating success since February 2006, when surgeries began to be performed.
2Gaziantep Üniversitesi Tıp Fakültesi, Kalp Damar Cerrahisi Anabilim Dalı, Gaziantep, Türkiye
3Antalya Özel Yaşam Hastanesi, Kalp Damar Cerrahisi Kliniği, Antalya, Türkiye
Amaç: İlk kez Şubat 2006 yılında başlanılan açık kalp cerrahisi sonuçlarını sunmayı amaçladık.
Gereç ve Yöntemler: Şubat 2006 ile Nisan 2012 tarihleri arasında aynı ilde iki merkezde toplam 1238 açık kalp ameliyatı gerçekleştirildi. Ortalama yaş 58,31±14,45 idi. Yetmiş bir hasta acil şartlarda (%5,7) operasyona alındı. Koroner arter hastalığı tanısıyla 940 hasta (%72,2) koroner arter bypass cerrahisi uygulandı. On bir hastaya koroner arter bypass cerrahisi ile birlikte karotis arter endarterektomisi yapıldı. 220 hastada (%17,7) kalp kapağına müdahale edildi. Toplam 20 hastaya aort cerrahisi yapıldı. Yedi hastaya asendan aort replasmanı, 1 hastaya desandan aort replasmanı, 1 hastaya asendan aort replasmanı ile birlikte koroner arter bypass cerrahisi, 12 hastaya bentall ve cabrol prosedürü uygulandı. Yedi hasta miksoma tanısı ile opere edildi. Toplam 52 hastaya (%4,2) konjenital kalp ameliyatı yapıldı.
Bulgular: Kardiyopulmoner bypass altında CABG yapılan hastalarda ortalama kross klemp zamanı 68,41±28,71dakika ve perfüzyon zamanı 96,58±35,99 dakika olarak bulundu. Distal anostomoz sayısı ortalama 2,94±0,9 (1-6) idi. Yüz iki hastada (%10,8) CABG koroner arter endarterektomisi yapıldı. CABG ilave olarak 11 hastada sol ventrikül anevrizmasına müdahale edildi. Altmış iki hastaya (%5) düşük kalp debisi nedeniyle intraaortik balon pompası takıldı. Hastane mortalitesi %4,2 idi. Yoğun bakımda kalma süreleri ortalama 2,3±0,6 gün, hastanede
kalış süreleri ortalama 6,2±2,4 gündü.
Sonuç: Şubat 2006 tarihinden itibaren açık kalp cerrahisi yapılan her iki merkezde artan bir ivme ve başarı ile açık kalp cerrahisi devam etmektedir.