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2015, Number 1

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Rev Med MD 2015; 6.7 (1)

Reoperation in cardiovascular surgery: Case series

Antonio-Dávila F, Cabrales-Pinzón E, Castaño-Contreras EF, Pardo-Rey DA

Language: Spanish
References: 13
Page: 7-12
PDF size: 551.64 Kb.


ABSTRACT

Introduction. Cardiovascular surgery reoperation is due to complications that endanger life; this study describes the general characteristics of patients and explores possible related factors.
Material y Methods. Case series of reoperation patients of cardiovascular surgery were review; the general characteristics were described; qualitative variables were present as absolute and relative frequencies; quantitative with means and standard deviations or medians and interquartile range depending on their distribution; associations between general characteristics and complications with Pearson Chi square and U Mann- Whitney test, for qualitative and quantitative (respectively) for a confidence level of 95% were explored.
Results. 33 cases of reoperation were reviewed; the median age was 70 years; males contributed 78.8% of cases, 51.5% of the procedures performed was coronary artery bypass graft; median time of the pump was 95 minutes and 61 minutes of aortic clamping; The most common complication was cardiac tamponade (69.7%); the distribution of time of pump in tamponade was above in cardiac tamponade compared to patients with abnormal bleeding (p = 0.014).
Discussion. Patients underwent reoperation the most after coronary artery bypass graft and valve replacement, the most common complication was cardiac tamponade, being related to the time of bomb; additional studies are needed with control group to define risk factors for reoperation.


REFERENCES

  1. Stephan Windecker* (coordinador de la ESC) (Suiza) PK, (coordinador de la EACTS) (Bélgica), Fernando Alfonso (España) J-PC (Francia), Jochen Cremer (Alemania), Volkmar Falk (Suiza), Gerasimos Filippatos (Grecia) CH, et al. Guía de práctica clínica de la ESC sobre revascularización miocárdica, 2014. http://pdf.revespcardiol.org/watermark/ctl_servl et?_f=10&pident_articulo=90376687&pident_usu ario=0&pcontactid=&pident_revista=25&ty=109 &accion=L&origen=cardio&web=www.revespcar diol.org&lan=es&fichero=25v68n02a90376687pdf 001.pdf. Accessed July 14, 2015.

  2. S. K, a.D. G, E.E. M, D.M. P, M.J. D. Reexploration for bleeding after coronary artery bypass surgery: Risk factors, outcomes, and the effect of time delay. Ann Thorac Surg. 2004;78(2):527-534.

  3. Boeken U, Elsner J, Feindt P, Petzold T, Schulte HD, Gams E. Does the time of resternotomy for bleeding have any influence on the incidence of sternal infections, septic courses or further complications? Thorac Cardiovasc Surg. 2001;49(1):45-48.

  4. Guzmán Morales, M., & Acevedo Corona A. Principales factores de riesgo asociados a sangrado postoperatorio en cirugía de reemplazo valvular que requirió intervención quirúrgica en centro médico ISSEMYM de 2011 a 2013. 2014.

  5. STS Adult Cardiac Surgery Database: executive summary: 10 years. Soc Thorac Surg. 2010. http://www.sts.org/sites/default/files/documents / 2011% 20-Adult Cardiac Surger y - 1stHarvestExecutiveSummary. pdf.

  6. Fries D, Velik-Salchner C, Innerhofer P. Antiplatelet and anticoagulant prophylaxis and postoperative blood loss in cardiac surgery. Anesth Analg. 2004;99(3):947

  7. Andreasen JJ, Nielsen C. Prophylactic tranexamic acid in elective, primary coronary artery bypass surgery using cardiopulmonar y bypass. EurJCardiothoracSurg. 2004;26:311-317.

  8. Pothula S, Sanchala VT, Nagappala B, Inchiosa Ma. The effect of preoperative antiplatelet/anticoagulant prophylaxis on postoperative blood loss in cardiac surgery. Anesth Analg. 2004;98(1):4-10

  9. Jaime Sagristá Sauleda (coordinador), Luis Almenar Bonet JÁF, Alfredo Bardají Ruiz, Xavier Bosch Genover, José Guindo Soldevila JMK, Becerra CPM y RT de M. Guías de práctica clínica sobre patología pericárdica. Rev Esp Cardiol Vol 53; Núm 3. 2000:394-412. http://pdf.revespcardiol.org/watermark/ctl_servl et?_f=10&pident_articulo=9345&pident_usuario= 0&pcontactid=&pident_revista=25&ty=111&acci on=L&origen=cardio&web=www.revespcardiol.o rg&lan=es&fichero=394-412.pdf. Accessed July 14, 2015.

  10. Hall TS, Sines JC, Spotnitz AJ. Hemorrhage related reexploration following open heart surgery: The impact of pre-operative and post-operative coagulation testing. Cardiovasc Surg. 2002;10(2):146-153. 11.Ten Tusscher BL, Groeneveld JAB, Kamp O, Jansen EK, Beishuizen A, Girbes ARJ. Predicting outcome of rethoracotomy for suspected pericardial tamponade following cardio-thoracic surgery in the intensive care unit. J Cardiothorac Surg. 2011;6:79.

  11. Marcinkiewicz A, Jaszewski R, Piestrzeniewicz K, Zwoliski R. Cardiac tamponade and para-aortic hematoma post elective surgical myocardial revascularization on a beating heart - a possible complication of the Lima-stitch and sequential venous anastomosis. BMC Cardiovasc Disord. 2014;14:72.

  12. Ammar T, Silvay G. Factors that influence early extubation: bleeding. J Cardiothorac Vasc Anesth. 1998;12(6 Suppl 2):28-29; discussion 41-44.

  13. Talamonti MS, LoCicero J, Hoyne WP, Sanders JH, Michaelis LL. Early reexploration for excessive postoperative bleeding lowers wound complication ratesino penheart surger y. Am Surg. 1987;53(2):102-104.




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