ISSN : 1301-5680
e-ISSN : 2149-8156
Turkish Journal of Thoracic and Cardiovascular Surgery     
Aortic pathologies after cardiac surgery
Çetin Murat Songur1, Burak Erdolu1, Murat Bülent Rabuş2, Cemalettin Aydın3, Ekrem Yılmaz2, Tulga Ulus1
1Department of Cardiovascular Surgery, Türkiye Yüksek İhtisas Training and Research Hospital, Ankara, Turkey
2Department of Cardiovascular Surgery, Kartal Koşuyolu Yüksek İhtisas Training and Research Hospital, İstanbul, Turkey
3Department of Cardiovascular Surgery, Medical Faculty of Bezmialem University, İstanbul, Turkey
DOI : 10.5606/tgkdc.dergisi.2013.6897
Background: This study aims to assess the risk factors for aortic pathologies developing following open heart surgery.

Methods: Between January 2000 and January 2009, 13,995 patients who underwent open heart surgery under extracorporeal circulation in our clinic were retrospectively analyzed. Among these patients, 50 with a previous history of cardiac surgery (39 males, 11 females; mean age 52.1±13.9 years; range 21 to 80 years) followed by an aortic pathology were enrolled. The mean time lapse between two operations was 8.5±7.4 months (range 1-31 months).

Results: The rate of total mortality was %32 (n=15). All of the five patients who underwent emergent operations died. The mean aortic diameter during the first operation was 4.1 cm, while it was 5.5 cm during the second operation. Age, aortic cross-clamping time and total perfusion time were higher in the mortality group compared to the survivors (p<0.05).

Conclusion: In parallel with the increasing life expectancy, it should be kept in mind that the frequency of redo operations may increase with an increasing mortality rate depending on the age. More radical surgical interventions, thus, may be used in lieu of palliative approaches during the first operation.

Keywords : Aortic aneurysm; aortic dissection; aortic valve replacement; coronary artery bypass grafting; mitral valve replacement
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