ISSN : 1301-5680
e-ISSN : 2149-8156
Turkish Journal of Thoracic and Cardiovascular Surgery     
Kaan Kırali, Mustafa Güler, Hasan Ekim, Veysel Kutay, Cevat Yakut, *Recep Demirbağ, *Fikret Turan, **Tuncer Koçak
Van Yüksek İhtisas Eğitim ve Araştırma Hastanesi, Kalp-Damar Cerrahisi Kliniği, Van,
Van Yüksek İhtisas Eğitim ve Araştırma Hastanesi, Kardiyoloji Kliniği, Van
** Van Yüksek İhtisas Eğitim ve Araştırma Hastanesi, Anestezi Kliniği, Van
Background: The aim of this study is to investigate the results of cardiovascular operations performed in a new cardiac center in East and Southeast Anatolia.
Methods: A total of 207 patients have been operated in this center since 1 November 1999. CABG was performed in 88 patients, closed or open heart valve surgery was applied to 76 patients including the patient with acute type II aortic dissection, and 29 congenital defects were repaired. One patient with cardiac cyst hydatic localized at the apex of LV was operated. The age of patients ranged between 2 and 71 years. One patient with stuck mechanical valve and one patient with acute MI were undertaken operation with cardiopulmonary resuscitation. Re-MVR was performed in two patients. Minor vascular intervention was applied in 156 patients.
Results: Hospital mortality was observed in 6 patients. The reasons were perop MI and LCO in two patients including emergent revascularization after the acute stent-occlusion in one, ventricular fibrillation in the patient received long-segment endarterectomy on the seventh postoperative day, ARDS in the patient with LVD and COPD, neurologic event in the patient with stuck mechanical valve, and multi-system organ failure with sepsis in the last patient. Late mortality was observed in 4 patients. The reasons were arrhythmia, thromboembolism, and sepsis. Two patients underwent reoperation because of surgical bleeding. One patient with MVR had transient neurologic event. IABP was used in 4 patients. There was no necessary for permanent cardiac pace.
Conclusions: The hospital, which could not be used for several years, has been activated with the assistance of the Ministry of Health and Social Services, and it has been put into service. Constitution and success of a new developed center due to the scientific and medical substructure support and staff members of a well developed main cardiac center can be a successfully model for the development of new centers in all parts of our country without any cardiac hospital. It can be possible to open new centers around the country with this pilot-application.
Keywords : CABG, heart valve, congenital, vascular, new center
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