RESUMO
We performed 1,739 cardiac surgery procedures between August 1988 and July 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 result of mitral valve replacement, and a mortality of 1.1% for aortic valve replacement. We have demonstrated that our cardiac surgery team is capable of performing a high volume of these procedures with good results.
Assuntos
Procedimentos Cirúrgicos Cardíacos/estatística & dados numéricos , Próteses Valvulares Cardíacas/estatística & dados numéricos , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Procedimentos Cirúrgicos Cardíacos/efeitos adversos , Procedimentos Cirúrgicos Cardíacos/mortalidade , Ponte de Artéria Coronária/efeitos adversos , Ponte de Artéria Coronária/mortalidade , Ponte de Artéria Coronária/estatística & dados numéricos , Feminino , Cardiopatias Congênitas/cirurgia , Próteses Valvulares Cardíacas/efeitos adversos , Próteses Valvulares Cardíacas/mortalidade , Humanos , Incidência , Masculino , Pessoa de Meia-Idade , Porto Rico/epidemiologiaRESUMO
Ninety-nine patients underwent surgery for acquired diseases of the mitral and aortic valves between 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 was zero and late death occurred at a rate of 3.4%. Thromboembolism 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 at a rate of 3.3% per patient year. For those patients undergoing aortic valve surgery bleeding occurred at a rate of 25% per patient year and fatal bleeding occurred at a rate of 3.1%. This rate of bleeding appears high; and is due to poorly monitored anticoagulation.
Assuntos
Valva Aórtica/cirurgia , Valva Mitral/cirurgia , Complicações Pós-Operatórias/epidemiologia , Adolescente , Adulto , Idoso , Institutos de Cardiologia , Feminino , Seguimentos , Doenças das Valvas Cardíacas/mortalidade , Doenças das Valvas Cardíacas/cirurgia , Humanos , Masculino , Pessoa de Meia-Idade , Porto Rico , Taxa de SobrevidaRESUMO
A series of 341 patients undergoing cardiac surgery, of which 276 underwent coronary artery bypass grafting (CABG) and 37 underwent valve replacement, is presented herein. Results of mortality and morbidity are shown, discussed and compared to that of other institutions, and found favorable. These patients represent our first year of experience at the San Pablo Heart Institute.