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Diario Oficial de la Sociedad Mexicana de Cirugía Cardiaca, A.C., y del Colegio Mexicano de Cirugía Cardiovascular y Torácica, A.C.

2017, Number 2

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Cir Card Mex 2017; 2 (2)

Reintervenciones múltiples sobre válvulas cardiacas: 8 años de experiencia

Arteaga-Adame J, Rodríguez-Duran Laura-Esther, Arellano-Juárez L, Saucedo-Castillo J, Zuñiga-Manriquez Elliu-Demesiris

Language: Spanish
References: 20
Page: 49-52
PDF size: 202.22 Kb.


ABSTRACT

Objective. The aim of this study is to provide the experience of 8 years in a tertiary hospital, in patients who underwent a previous cardiac surgery, which require a second surgery focusing same on second valve reoperations.
Methods. Observational, retrospective, descriptive and cross simple study. The selection of the sample was not probabilistic convenience sampling during the period June 2008 to April 2015, in which 55 complete files were included. The patients with heart disease who had a previous heart valve surgery. Study variables: age, gender, surgical approaches, aortic clamp time, cardiopulmonary bypass time, type of previous prostheses and prosthetic placed.
Results. A total of 55 patients who underwent heart valve surgery in the period from June 2008 to April 2015. Corresponding 20 male and 35 females, 36.4% and 63.6% respectively were included, average age 50.1 years, minimum 29, maximum 73. The total ischemia time averaged 99 minutes, minimum 22 minutes, maximum 200 minutes; cardiopulmonary bypass time was 143.4 minutes on average, at least 48 minutes max 405 minutes. The approach used in all patients was sternotomy, all patients had prior sternotomy. The position of the prosthesis to which they procedure was performed; 20 mitral, 24 aortic position, 7 mitro-aortic, 3 tricuspid position and one pulmonary.
Conclusions.The indication of a repetitive valve reoperation should be assessed individually given the high risk associated with surgery. Cardiac surgery reoperation, although plaintiff in time and technically. It can be performed with good results in specialized tertiary centers, comparable to other published series.


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