ISSN : 1301-5680
e-ISSN : 2149-8156
TURKISH JOURNAL OF
THORACIC AND
CARDIOVASCULAR SURGERY
Turkish Journal of Thoracic and Cardiovascular Surgery     
Reoperations for Valve Surgery: Perioperative Mortality and Determinants of Risk for 373 Patients,1984-1993
Bayer ÇINAR, Remzi TOSUN, Murat KONUK, Kemal YEŞİLÇİMEN, Mehmet GÜNEY, Abdullah TUYGUN, Kadir GÜRKAN, Sami ÜNAL, Özge SEZERMAN
İstanbul Üniversitesi Göğüs Kalp Damar Cerrahi Merkezi
373 cardiac reoperation for vale surgery were revieved to determine in –hospital mortality and indi cators of risk. Subgroups based on number of previous cardiac procedures and the valve or valves replaced or repaired at reoperation (aortic valve, mitral valve, tricuspid valve, or multle valvesand mortality Ideaths /numberof procedures (% mortality)I) for those subgroups are as follows;

Aort Mitral Triküspid Multiple
Kapak Kapak Kapak Kapak Total
Reoperasyon 4/20(%20) 25/155 (%16) 4/19(%21) 27/162(%16.6) 63/373(%16)
Predictors of increased risk for a first aortic valve reoperation were advanced age (p=0.0002), endocarditis (p=0.0018), impraired left ventricular function (p=0.06), male sex (p=0.01). For a mitral valve reoperation, the predictors were advandage (pp<0.001), preoperative shock or cardiac arrest (p=0.01), previous aortic or tricuspid valve operations (p=0.02). Type of mitral valve procedure (risk for repair of periprosthetic leak was greater than mitral valve – conserving operation Ip=0.05I ,and impaired left entricular function (p=0.06). For a multiple valve reopatiton, the predictors were diabetes (p=0.04) and ascites (p=0.02). Age is the most consistent predictor of risk for patients undergoing valve reoperations.

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