DOES BEATING HEART SURGERY TECHNIQUE REDUCE THE MORTALITY AND MORBIDITY AFTER REDO VALVE OPERATIONS?

Ufuk Mungan, Ertan Demirdas, Levent Altınay, Erdem Cetin, Kivanc Atilgan, Fehmi Katircioglu, Ferit Cicekcioglu
2018 Sanamed  
Aim: The aim of this study was to determine the effect of beating heart technique on mortality and morbidity after redo valve operations. Material and Method: Fifty-two patients who had redo open-heart surgery between May 2005 and November 2006 in a Hospital included in this prospective study. All patients had a history of open-heart surgery with median sternotomy. Thirty-two patients who had redo open-heart surgery with beating heart technique were included in Group 1 and 20 patients who had
more » ... patients who had redo open-heart surgery with conventional cardioplegic myocardial arrest technique were included in Group 2. Patients who had any cardiac surgery without median sternotomy were excluded. Results: Functional capacity according to New York Heart Association classification was significantly lower and number of patients with chronic obstructive lung disease was significantly higher in Group 1 (p = 0.011 and p = 0.003 respectively). There was no significant difference in other preoperative variables. Operation, cardiopulmonary bypass and aortic cross-clamping times were significantly higher in Group 2 (p = 0.001, p = 0.003, p = 0.04 respectively). Mechanical ventilation, inotropic agent support and hospitalization times were significantly higher in Group 2 (p < 0.05). Intensive care unit time was significantly longer in Group 1 (p < 0.05). Drainage volumes, blood product transfusion volumes, intra-aortic balloon pump support times were not significantly different between the groups. Conclusion: Beating heart technique in redo heart valve operations has better outcomes than the conventional technique.
doi:10.24125/sanamed.v13i2.219 fatcat:2gxviawwszg2hnwb4ykxa6lcii