Open Heart Surgery In Konya State Hospital: Review Of The First 550 Cases

YÜKSEL DERELİ, RAMİS ÖZDEMİR, NİHAN KAYALAR, MUSA AĞRIŞ, KEMALETTİN HOŞGÖR, ALİ SUAT ÖZDİŞ

  • Year : 2014
  • Vol : 30
  • Issue : 2
  •  Page : 58-63
In this study, we evaluated the first open heart operations performed in our clinic. Between August 2005 and June 2011, a total of 550 patients (318 male, 232 female; mean age 58,35 years) underwent open heart surgery in our clinic. Preoperative mean ejection fraction was 36,8% (20 to 65). Diagnosis of patients were as follows: 397 cases had coronary aryery disease, 114 cases had valvular heart disease, 19 cases had congenital heart disease, 17 cases had aortic pathology and 3 cases had left atrial myxoma. Major comorbidities were hypertension, diabetes mellitus and chronic obstructive lung disease. Mean intensive care unit stay was 2,1 days (1-17), whereas mean hospital stay was 6,7 days (4- 23). Total complication rate was 28,54% with 157 cases. The most common postoperative complication was atrial fibrilation with 57 (10,36%) cases. Low cardiac output in 23 (4,18%) patients, wound infections in 16 (2,9%) patients, temporary neurologic disorder in 13 (2,36%) patients, renal failure in 10 (1,81%) patients and mechanical ventilation requirement in 6 (1,09%) patients were observed in hospitalization period. Reoperation was used in totally 45 (8,18%) cases due to hemorrhage (n=41) and sternal dehiscence (n=4). Total mortality rate was 5,63% with 31 cases. The most common cause of mortality was low cardiac output. This study demonstrated that open heart surgery has been performed successfully in a state hospital despite the all difficulties. We think that our mortality and morbidity rates are acceptable and similar to current literature.
Cite this Article As : Dereli Y,Özdemir R,Kayalar N,Ağrış M,Hoşgör K,Özdiş AS.Konya Numune Hastanesi’nde Açık Kalp Cerrahisi: İlk 550 Vakanın Değerlendirilmesi.Selcuk Med J 2014;30(2): 58-63

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Description : None of the authors, any product mentioned in this article, does not have a material interest in the device or drug. Research, not supported by any external organization. grant full access to the primary data and, if requested by the magazine they agree to allow the examination of data.
Open Heart Surgery In Konya State Hospital: Review Of The First 550 Cases
, Vol. 30 (2)
Received : 17.12.2013, Accepted : 17.12.2013, Published Online : 13.08.2018
Selçuk Tıp Dergisi
ISSN:1017-6616;
E-ISSN:2149-8059;