Academic Journal
P113 * Clinical outcomes following double and triple valve surgery in Hong Kong
| العنوان: | P113 * Clinical outcomes following double and triple valve surgery in Hong Kong |
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| المؤلفون: | Wong, H.L., Ng, S.H., Kwok, W.T., Yeung, C.L., Yu, S.Y., Wan, Y.P., Wan, S., Underwood, M.J., Bai, W.J., Li, H., Tang, H., Wang, H., Rao, L., Chen, Y., Peng, Y., Park, Y.H., Han, D.C., Sohn, C.B., Kim, J.S., Kim, J., Kim, J.H., Chun, K.J., Owlia, M.B., Mirhoseini, S.J., Naderi, N., Mostafavi Pour Manshadi, S.M.Y., Sayegh, S., Fei, H.W., Lin, C.Y., He, Y.L., Huang, H.L., She, H.L., Chan, P.H., Di Mario, C, Rubens, M., Cheung, S.C.W., Soo, W.M., Ling, L.H., Chan, M.Y., Loh, J.P., Poh, K.K., Xin, W., Hong, T. |
| بيانات النشر: | Oxford University Press |
| سنة النشر: | 2012 |
| المجموعة: | HighWire Press (Stanford University) |
| مصطلحات موضوعية: | Valvular Heart Disease |
| الوصف: | Objective: Patients undergoing double and triple valve procedures represent a complex group and early outcomes have shown high mortality in some series (6.9% for first time surgeries: Society of Cardiothoracic Surgeons in Great Britain and Ireland Database 2008). Method: We studied early clinical outcomes in patients undergoing double and triple valve surgery in Prince of Wales Hospital from 1/2006 to 12/2010. Patients’ demographics, automatically generated risk scores, intra and post-operative variables were recorded and collected prospectively. Result: In the study period, 1557 patients underwent cardiac surgery in our institution and 188 patients (12.2%) required double or triple valve surgery. 55% were female and the mean age was 57 (range 20-81). Preoperative logistic EuroSCORE was mean 5.96. Fifteen patients (7.9%) had undergone previous cardiac surgery. 4.3% of patients had associated coronary artery disease and required addition of coronary bypass procedure. Ninety patients presented with Class III/IV NYHA symptoms (47.8%) and 22 (11.7%) had evidence of severe ongoing heart failure. Nineteen patients (10.1%) required urgent or emergency surgery. 2.7% had evidence of pre-operative renal impairment and 4.8% had associated obstructive airways disease. Five patients (2.7%) presented with previous permanent neurological deficit, 7 patients (3.7%) had previously had a neurological event with full recovery and 22.9% had evidence of only fair or poor left ventricular ejection fraction. Mortality was 4.8% (9 patients) for the overall group and for elective operations mortality was 3.6% (6 patients). Reoperation for bleeding was 5.3% overall and 4 patients (2.1%) developed a new post-operative stroke. Three patients (1.6%) required new post-operative dialysis on a temporary basis. Conclusion: Patient requiring double and triple valve surgeries represent a heterogeneous and complex group of patients. They are a significant portion of patients undergoing valve surgery in our Institution. Outcomes in comparison to ... |
| نوع الوثيقة: | text |
| وصف الملف: | text/html |
| اللغة: | English |
| Relation: | http://eurheartjsupp.oxfordjournals.org/cgi/content/short/14/suppl_A/A32-a; http://dx.doi.org/10.1093/eurheartj/sur032 |
| DOI: | 10.1093/eurheartj/sur032 |
| الاتاحة: | http://eurheartjsupp.oxfordjournals.org/cgi/content/short/14/suppl_A/A32-a https://doi.org/10.1093/eurheartj/sur032 |
| Rights: | Copyright (C) 2012, European Society of Cardiology |
| رقم الانضمام: | edsbas.209638CB |
| قاعدة البيانات: | BASE |
| DOI: | 10.1093/eurheartj/sur032 |
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