Cengiz KÖKSAL, Vural ÖZCAN, Sabit SARIKAYA, Abdullah HELVACI, Saliha TERZİ, Burhan MEYDAN, Mustafa ZENGİN

SSK Süreyyapaşa hastanesi'nde açık kalp cerrahisi: İlk 100 vaka

İstanbul'da Sağlık ve Sosyal Sigortalar Kurumunun ilk ve tek koroner anjiyografi ve açık kalp ameliyatının yapıldığı merkezi olan Süreyyapaşa Göğüs, Kalp ve Damar Hastalıkları Eğitim Hastanesi'nde Nisan 2001-Ağustos 2002 tarihleri arasındaki dönemde 100 açık kalp ameliyatı yapılmıştır. Seksendört hastaya koroner bypass (23 atan kalpte, 61 kardiyopulmoner bypass ile), 6 hastaya mitral kapak replasmanı, 2 hastaya mitral kapak tamiri, bir hastaya Benthall ameliyatı, 5 hastaya aort kapak replasmanı, 2 hastaya ASD sekundum, 1 hastaya ASD primum tamiri yapıldı. 2 hastamıza CABG ile eşzamanlı pnömonektomi, 6 hastaya CABG ile eş zamanlı karotis endarterektomisi yapılmıştır. 6 hastamız sol ana koroner arter hastası idi ve acil olarak ameliyata alındı. Hastane mortalitemiz 6 hastadır. 4 hastada minör cerrahi infeksiyon ve bir hastada mediastinit gelişti. Ortalama yoğun bakım kalış süresi 2 (1-6), hastane kalış süresi 7 (6-17)'dir.

Open heart surgery experience in SSk Süreyyapaşa hospital: The first consecutive 100 cases

In Süreyyapaşa, Thoracic and Cardiovascular Disease Hospital, which is the first and the only center performing coronary angiography and open heart surgery in Istanbul on behalf of SSK, 100 open heart operations were performed between April 2001-August 200. 84 patients underwent coronary artery bypass grafting (23 patients by OPCAB technique, 61 patients under CPB), 6 patients underwent mitral valve replacement, 2 patients underwent mitral valve repair, one patient underwent Benthall procedure, 5 patients underwent aortic valve replacement, 2 patients had ASD sekundum repair and one patient had ASD primum repair. In two patients CABG was performed concomitant with pneumonectomy in the same surgical setting and 6 patients had CABG concomitant with carotid endarterectomy. Hospital mortality was 6. 4 minor surgical infections and one mediastinit were detected. Mean intensive care unit stay was 2 days (1-6), whereas mean hospital stay was 7 days (6-17).

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