RESUMO
We performed 1, 739 cardiac surgery procedures between August 1988 and jully 1991 at the San Pablo Heart Institute. The statistics for mortality and morbidity are among the best in the nation and they showed an overall mortality for the entire period of 1.8%, a mortality for coronary artery bypass graft of 1.5% no patient has died as a results of mitral valve replacement, and a mortality of 1.1% for aortic valve replacement. We have demostrated that our cardiac surgery team is capable of performing a high volume of these procedures with good results
Assuntos
Adolescente , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Próteses Valvulares Cardíacas/estatística & dados numéricos , Cirurgia Torácica/estatística & dados numéricos , Idoso de 80 Anos ou mais , Ponte de Artéria Coronária/efeitos adversos , Ponte de Artéria Coronária/mortalidade , Ponte de Artéria Coronária/estatística & dados numéricos , Cardiopatias Congênitas/cirurgia , Próteses Valvulares Cardíacas/efeitos adversos , Próteses Valvulares Cardíacas/mortalidade , Incidência , Porto Rico/epidemiologia , Cirurgia Torácica/efeitos adversos , Cirurgia Torácica/mortalidadeRESUMO
Ninety nine patients underwent surgery for acquired diseases of the mitral and aortic valves betweejn August 22, 1988 and August 21, 1990, of these, 64 procedures were done on the aortic valve and 35 procedures on the mitral valve. The early mortality for mitral valve surgery was 5.8% and late death occurred at a rate of 8.8%. As for the aortic valve surgery the operative mortality ws zero and late death occurred at a rate of 3.4%. Thrombo embolism occurred at a rate of 3.3% per patient year for patient undergoing mitral valve surgery and 6.3% per patient year for those undergoing aortic valve surgery. Valve thrombosis occurred at a rate of 6.6% per patient year for patients undergoing mitral valve surgery and zero for patients undergoing aortic valve surgery. Anticoagulation related bleeding occurred at a rate of 49% per patient year for patients undergoing mitral valve surgery and fatal bleeding ata a rate of 3.3% per patient year. For those patients undergoing aortic valve surgery bleeding occurred ata a rate of 25% per patient year and fatal bleeding occurred ata a rate of 3.1%. This rate of bleeding appears high; and is duer to poorly monitored antiocoagulation
Assuntos
Humanos , Adolescente , Adulto , Pessoa de Meia-Idade , Masculino , Feminino , Complicações Pós-Operatórias/epidemiologia , Doenças das Valvas Cardíacas/mortalidade , Valva Mitral/cirurgia , Valva Aórtica/cirurgia , Institutos de Cardiologia , Doenças das Valvas Cardíacas/cirurgia , Seguimentos , Taxa de SobrevidaRESUMO
A series of 341 patients undergoing cardiac surgery, of which 276 underwent coronary artery bypass grafiting (CABG) and 37 underwent valve replacement, is presented herein. Results of mortality and morbidity are shown, discussed and compa res to that other institutions; and found favorable, these patients represented our first year of experience at the San Pablo Hearth Institute