Open Heart Surgery in Haseki Training and Research Hospital: Evaluation of the First 500 Cases

Haseki Eğitim ve Araştırma Hastanesi’nde Açık Kalp Cerrahisi: İlk 500 Olgunun Değerlendirilmesi

Özet

Aim: The purpose of this study was to evaluate outcomes of the first 500 open heart surgeries performed in the Department of Cardiovascular Surgery at Haseki Training and Research Hospital, which was founded in 2014. Methods: Records of 500 open heart surgeries performed between December 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 eight patients underwent mitral valve replacement (MVR). Tricuspid ring annuloplasty was performed in four patients who had previously undergone MVR and atrial septal defect closure in 12 patients, while five patients were operated due to cardiac myxoma and 20 patients due to type 1 aortic dissection. Results: The mean age of the patients was 57.6±13.1 years (17-84 years). Hypertension (54.4%) was the most common comorbidity, followed by hyperlipidemia (43.1%), diabetes mellitus (34.36%), Chronic Obstructive Pulmonary disease (21.5%), and peripheral arterial disease (9.3%), respectively. In-hospital death occurred in 22 of 480 (4.58%) patients and 10 of 20 patients (50%) who were operated due to type 1 aortic dissection. The overall hospital mortality rate was 6.4% (26 of 500 patients). Conclusion: Our experience showed that world class cardiac care is provided in our center.

Abstract

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.