AI Summary & Key Takeaways
AI InsightThe overall hospital mortality rate was6.4% (26 of 500 patients).Conclusion: Our experience showed that world class cardiac care isprovided in our center.
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Abstract
Aim: The purpose of this study was to evaluate outcomes of thefirst 500 open heart surgeries performed in the Department ofCardiovascular Surgery at Haseki Training and Research Hospital,which was founded in 2014.Methods: Records of 500 open heart surgeries performed betweenDecember 2014 and February 2017 were evaluated retrospectively.A total of 374 patients underwent coronary artery bypass grafting,11 Bentall operation, 41 aortic valve replacement, and thirty eightpatients underwent mitral valve replacement (MVR). Tricuspid ringannuloplasty was performed in four patients who had previouslyundergone MVR and atrial septal defect closure in 12 patients, whilefive patients were operated due to cardiac myxoma and 20 patientsdue to type 1 aortic dissection.Results: The mean age of the patients was 57.6±13.1 years (17-84years). Hypertension (54.4%) was the most common comorbidity,followed by hyperlipidemia (43.1%), diabetes mellitus (34.36%),Chronic Obstructive Pulmonary disease (21.5%), and peripheralarterial disease (9.3%), respectively. In-hospital death occurred in 22 of480 (4.58%) patients and 10 of 20 patients (50%) who were operateddue to type 1 aortic dissection. The overall hospital mortality rate was6.4% (26 of 500 patients).Conclusion: Our experience showed that world class cardiac care isprovided in our center.
Özet
Amaç: Bu çalışmanın amacı, 2014 yılında faaliyete geçen Haseki Eğitim ve Araştırma Hastanesi Kalp ve Damar Cerrahisi Kliniği’nde yapılan ilk 500 kalp ameliyatının sonuçlarını değerlendirmektir. Yöntemler: Aralık 2014 - Şubat 2017 tarihleri arasında 500 olgu retrospektif olarak değerlendirildi. Toplam 374 olguda koroner arter bypass cerrahisi uygulandı. On bir hasta Bentall operasyonu, 41 hasta aort kapak replasmanı, 38 hasta mitral kapak replasmanı (MVR), MVR yapılan 4 hasta triküspit ring anuloplasti, 12 hasta atriyal septal defekt kapatılması, 5 hasta kardiyak miksoma, 20 hasta ise tip 1 aort diseksiyonu nedeni ile opere edilmiştir. Bulgular: Hastaların yaş ortalaması 57,6±13,1 (17-84 yaş) idi. Hipertansiyon (%54,4) en sık eşlik eden hastalık olup bunu hiperlipidemi (%43,1), diabetes mellitus (%34,36), Kronik Obstrüktif Akciğer hastalığı (%21,5) ve periferik arter hastalığı (%9,3) takip ediyordu. Hastane mortalitesi 480 hastada 22 (%4,58), tip 1 aort diseksiyonu nedeni ile opere edilen 20 hastada ise 10 hasta (%50) olarak, totalde ise 500 hastada 26 (%6,4) olarak gerçekleşti. Sonuç: Deneyimlerimiz, merkezimizde dünya çapında kalp bakımı sağlandığını gösterdi.