REVISION OPERATIONS DUE TO HEMORRHAGE AFTER OPEN HEART SURGERY (TWO YEARS FOLLOW-UP)

Mehmet Ateş, İlyas Kayacıoğlu, Hüseyin Şaşkın, Yavuz Şensöz, Mustafa Yangel, Abdurrahman Ekinci, Murat Akçar,

Siyami Ersek Göğüs Kalp Damar Cerrahisi Eğitim ve Araştırma Hastanesi, Kalp Damar Cerrahisi Kliniği, İstanbul

Background: In open heart surgery, most common complications requiring reexploration in the early postoperative period are bleeding, cardiac tamponade and graft occlusion. Bleeding in the early postoperative period is important risk factor in terms of morbidity even of not mortality. We aimed to show the most common reasons and localizations for bleeding after open heart surgery.

Methods: We included in this study only urgent reexplorations for bleeding. Between January 2000 and January 2002 total 3622 patients, 3219 patients operated with cardiopulmoner bypass and 403 patients operated with beating heart procedure were investigated retrospectively. One hundred twenty three of them were re-explored, primary operation type and bleeding sites during reexploration were analysed.

Results: While reexploration rate was 3.39%, there was no active bleeding site among 25.2% of the patients, and harvested area of internal thoracic artery was found the most common (13.8%) bleeding site.

Conclusions: Meticulous surgery, hemostasis and ceassing of the drugs enhancing bleeding will probably reduce reexploration rate.

Keywords : Cardiopulmonary bypass, bleeding, reexploration

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