YENİ KURULAN MERKEZİMİZİN 4 YILLIK AÇIK KALP CERRAHİSİ SONUÇLARI

AMAÇ: Ebulfez Elçibey Kalp ve Damar Cerrahisi Merkezi 2012yılında kurulmuş ve ilk açık kalp ameliyatı 17.7.2012 tarihindebaşarı ile gerçekleştirilmiştir. Bu makalede, 4 yılda ameliyat edilenhastaların sonuçlarını retrospektif olarak değerlendirerek literatürile karşılaştırmayı planladık.GEREÇ VE YÖNTEM: 17 Temmuz 2012 ve 15.07.2016 tarihleriarasında 1079 hastaya 1092 kalp ameliyatı yapılmıştır. Hastalarınverileri, pompa formları, ekokardiyografi bulguları ve hastaneninbilgi kayıt sisteminden toplanmıştır. Hastaların %96’ı konvansiyonelolarak kardiyopulmoner baypas tekniğiyle, %3’ü çalışan kalptekardiyopulmoner baypas ile kapak ameliyatları ve %1’i de çarpankalpte ameliyat edilmiştir.BULGULAR: Hastaların 726 (%67,3)’ı erkek, 353 (%32,7)’ü kadınolup yaş ortalaması 61,68+12,75 olarak hesaplanmıştır. Yapılan 1092ameliyatın; 1048’i konvansiyonel, 44’ü çarpan kalpte yapılmıştır.Hastaların 74 (%7)’ü reoperasyon hastasıydı. 59 hastaya bioprotezkullanıldı. Hastaların %61’i 60 yaş ve üzerinde, %44’ü 65 yaş veüzerinde, %34’ü 70 yaş ve üzerinde, %19’u 75 yaş ve üzerinde ve%8’i 80 yaş ve üzerindeydi. Ortalama EuroSCORE 3,9+2,1 olarakhesaplanmıştır. Ortalama ejeksiyon fraksiyonu 43,53+12,15 (15-70)olarak hesaplanmıştır. 770 (%70,5) hastaya sadece koroner baypas,121 (%11) hastaya sadece kapak, 115 (%10) hastaya koroner baypasaek işlem uygulandı. Postoperatif morbidite olarak en sık atriyalfibrilasyon %11 oranında görülmüştür. Erken postoperatif mortalite70 vaka ile %6,5 olarak hesaplanmıştır.SONUÇ: Kalp cerrahi bölümümüz yeni kurulan bir merkezolmasına rağmen vakalarını makul bir morbidite ve mortalite ileyapabilecek bir merkez haline gelmiştir.

FOUR YEARS OPEN HEART SURGERY RESULTS OF OUR NEWLY-ESTABLISHED CENTER

INTRODUCTION: Ebulfez Elcibey Cardiovascular Surgery Clinic of Ankara Training and Education Hospital has been established in 2012 and first open heart operation was performed on 17 July 2012. In this report, we plan to evaluate our operative results retrospectively and compare with the literature. MATERIAL AND METHODS: Between the dates 17 July 2012 – 15 July 2016, heart operations has been performed to 1079 patients. Data of patients have been obtained from pump forms ,echocardiography reports and hospital records. In 96% of cases conventional cardiopulmonary bypass technique has been used. 3% of patients underwent heart valve operation using cardiopulmonary bypass on beating heart. In 1% of patients beating heart coronary bypass was done. RESULTS: 726 (%67,3) of patiens were male and 353 (%32,7) of them were female. Avagare age was 61,68+12,75. 1048 of the 1092 operation were conventional open heart operation and 44 of them were beating heart. There were 74 (% 7) reoperation. In 59 patients bioprosthetic heart valve has been used. 61% of patiens were above age 60, 44% above age 65, 34% above 70, 19% above 75 and 8% above age 80 years . Median EuroSCORE values were 3,9±2,1. 770 of (%70,5) patients had only coronary bypass surgery. Most common morbidity was atrial fibrilation with the rate of 11%. Early postoperative mortality was occured in 70 patients (6,5%). CONCLUSION: Despite its new established, Our cardiovascular surgery department has become a center performing surgery with acceptable mortality and morbidity.

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