First-year heart surgery

ABSTRACT

In 12-month period this study performed 60 cases of various open cardiac surgical procedures. The preoperative diagnosis was mitral valve disease in 35 patients [58%], aortic valve disease in 7 patients [11.7%], atrial septal defect in 7 patients [11.7%], ventricular septal defect in 5 patients [8.3%], congenital pulmonary stenosis in 3 patients [5%], and subaortic membrane in 3 patients [5%]. Mild aortic valve lesion was present in 7 cases, mild mitral lesion in 4 cases, tricuspid regurge in 11, and left atrial thrombus in 8 cases. There were 7 cases with previous cardiac surgery, 6 previous closed mitral commissurotomy and one mitral valve repair complicated by endocarditis. There were 9 operative deaths [15%], 7 [11.6%] following mitral valve surgery, one [1.7%] following closure of VSD, and one [1.7%] following pulmonary valvotomy. There was one late death, sudden unexplained. Postoperative complications occurred in 9 cases [15%], 2 cases had difficult weaning from CPB, excessive bleeding in one case, severe mitral regurge following open mitral commissurotomy in one case, early onset of infective endocarditis in 2 cases and sternotomy infection in 3 cases