scholarly journals Clinical and Surgical Characteristics of Patients Undergoing Valve Replacement

2021 ◽  
Vol 23 (4) ◽  
pp. 323-326
Author(s):  
Karolline Santos Dias ◽  
Rafaela dos Santos Pereira ◽  
André Raimundo França Guimarães ◽  
André Luiz Lisboa Cordeiro
Keyword(s):  
Valve Replacement ◽  
Extracorporeal Circulation ◽  
Hospital Admissions ◽  
The Body ◽  
Replacement Surgery ◽  
Terapia Intensiva ◽  
Cardiac Valve Replacement ◽  
Mechanical Ventilation Time ◽  
Over 40 Years ◽  
Research Period

AbstractCardiovascular diseases have been the leading the causes of hospital admissions, being one of the main public health problems in Brazil, and one of the forms of treatment is cardiac surgery, being more prevalent in older people who have several other comorbidities associated. This study aimed to describe the clinical and surgical profile of patients undergoing valve replacement. Thus, an ambispective study was carried out with patients admitted to the Intensive Care Unit of Instituto Nobre de Cardiologia. An analysis was carried out in the patients' medical records in search of data related to their clinical and surgical profile. During the research period, 55 patients underwent valve replacement, 10 of which were excluded. Thus, 45 patients were evaluated, with 28 (62%) male participants with a mean age of 43 ± 6 years, hypertension and sedentary lifestyle were the most common comorbidities (49% and 56% respectively) and 60% with the Body Mass Index within the normal range. Regarding the surgical characteristics, the extracorporeal circulation time was 211 ± 22 minutes and the Mechanical Ventilation time was 6 ± 2 hours. Based on the findings, it can be characterized that patients undergoing cardiac valve replacement surgery are over 40 years old, male, sedentary, hypertensive. Keywords: Thoracic Surgery. Artificial Breathing. Extracorporeal Circulation. Resumo As doenças cardiovasculares têm liderado as causas de internação hospitalar, sendo um dos principais problemas de saúde publica no Brasil, sendo que umas das formas de tratamento é a cirurgia cardíaca, sendo mais prevalente em pessoas com idade mais avançada, e que possuem várias outras comorbidades associadas. O presente estudo teve como objetivo descrever o perfil clínico e cirúrgico de pacientes submetidos à troca valvar. Para isso foi realizado um estudo ambispectivo com os pacientes internados na Unidade de Terapia Intensiva do Instituto Nobre de Cardiologia. Foi feita uma análise no prontuário dos pacientes na busca de dados relacionados ao seu perfil clinico e cirúrgico. Durante o período da pesquisa foram submetidos a troca valvar 55 pacientes sendo que 10 foram excluídos. Desse modo foram avaliados 45 pacientes, com 28 (62%) participantes do sexo masculino com idade média de 43 ± 6 anos, hipertensão e sedentarismo as comorbidades mais encontradas (49% e 56% respectivamente) e 60% com o Índice de Massa Corpórea dentro da normalidade. Em relação às características cirúrgicas o tempo da circulação extracorpórea 211 ± 22 minutos e o tempo de Ventilação Mecânica 6 ± 2 horas. Com base nos achados pode-se caracterizar que os pacientes submetidos à cirurgia cardíaca de troca de válvulas têm mais de 40 anos, do gênero masculino, sedentários, hipertensos. Palavras-chaves: Cirurgia Torácica. Respiração Artificial. Circulação Extracorpórea.

Relationship Between Preoperative Endotoxin Immune Status, Gut Perfusion, and Outcome From Cardiac Valve Replacement Surgery

CHEST Journal ◽  
1997 ◽  
Vol 112 (5) ◽  
pp. 1189-1196 ◽  
Author(s):  
Colin Hamilton-Davies ◽  
G. Robin Barclay ◽  
Rebecca A. Cardigan ◽  
Sally J. McDonald ◽  
G. Purdy ◽  
...  
Keyword(s):  
Valve Replacement ◽  
Immune Status ◽  
Cardiac Valve ◽  
Replacement Surgery ◽  
Cardiac Valve Replacement ◽  
Valve Replacement Surgery

scholarly journals Sex Differences in the Utilization and Outcomes of Cardiac Valve Replacement Surgery for Infective Endocarditis: Insights From the National Inpatient Sample

2021 ◽  
Author(s):  
Agam Bansal ◽  
Paul C. Cremer ◽  
Wael A. Jaber ◽  
Penelope Rampersad ◽  
Venu Menon
Keyword(s):  
Infective Endocarditis ◽  
Hospital Mortality ◽  
Valve Replacement ◽  
Valve Surgery ◽  
Cardiac Valve ◽  
National Inpatient Sample ◽  
Men And Women ◽  
Replacement Surgery ◽  
Cardiac Valve Replacement ◽  
Valve Replacement Surgery

Background The data on the differential impact of sex on the utilization and outcomes of valve replacement surgery for infective endocarditis are limited to single‐center and small sample size patient population. Methods and Results We utilized the National Inpatient Sample database to identify patients with a discharge diagnosis of infective endocarditis from 2004 to 2015 to assess differences in the characteristics and clinical outcomes of patients hospitalized with infective endocarditis stratified by sex. We also evaluated trends in utilization of cardiac valve replacement and individual valve replacement surgeries in women versus men over a 12‐year period, and compared in‐hospital mortality after surgical treatment in women versus men. A total of 81 942 patients were hospitalized with a primary diagnosis of infective endocarditis from January 2004 to September 2015, of whom 44.31% were women. Women were less likely to undergo overall cardiac valve replacement (6.92% versus 12.12%), aortic valve replacement (3.32% versus 8.46%), mitral valve replacement (4.60% versus 5.57%), and combined aortic and mitral valve replacement (0.85% versus 1.81%) but had similar in‐hospital mortality rates. From 2004 to 2015, the overall rates of cardiac valve replacement increased from 11.76% to 13.96% in men and 6.34% to 9.26% in women and in‐hospital mortality declined in both men and women. Among the patients undergoing valve replacement surgery, in‐hospital mortality was higher in women (9.94% versus 6.99%, P <0.001). Conclusions Despite increased utilization of valve surgery for infective endocarditis in both men and women and improving trends in mortality, we showed that there exists a treatment bias with underutilization of valve surgeries for infective endocarditis in women and demonstrated that in‐hospital mortality was higher in women undergoing valve surgery in comparison to men.

scholarly journals 172Pacemaker therapy after cardiac valve replacement surgery: impact on heart failure hospitalizations

EP Europace ◽  
2017 ◽  
Vol 19 (suppl_3) ◽  
pp. iii14-iii14
Author(s):  
A. Zegard ◽  
T. Qiu ◽  
D. Mcnulty ◽  
F. Evison ◽  
H. Marshall ◽  
...  
Keyword(s):  
Heart Failure ◽  
Valve Replacement ◽  
Cardiac Valve ◽  
Replacement Surgery ◽  
Cardiac Valve Replacement ◽  
Valve Replacement Surgery

scholarly journals Case report of the first cured patient with Mycobacterium Chimaera infection following cardiac valve replacement in the mainland of China

2021 ◽  
Vol 10 (1) ◽  
Author(s):  
Di Lu ◽  
Chun-Hong Zhang ◽  
Li-Jiang Chen ◽  
Pei-Feng Jin ◽  
Xia-Fei Feng ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Valve Replacement ◽  
Heart Surgery ◽  
Open Heart Surgery ◽  
Pcr Analysis ◽  
Rrna Gene ◽  
Replacement Surgery ◽  
Imported Case ◽  
The Mainland Of China ◽  
Cardiac Valve Replacement

Abstract Background Mycobacterium chimaera infections subsequent to cardiac surgery are related to contaminated heater-cooler devices, with high mortality. Nevertheless, few studies have been reported in Asia. Case presentation We described the case of a 55-year-old man with Mycobacterium chimaera infection following cardiac surgery in the mainland of China. He was diagnosed with endocarditis caused by Mycobacterium chimaera subsequent to open heart surgery. Metagenomic next-generation sequencing (mNGS) and 16S rRNA gene PCR analysis were used to identify potential pathogens. The patient underwent redo valve replacement surgery and received combination therapy with azithromycin, ethambutol, linezolid, and amikacin. No signs of relapse were observed during the 11-month follow-up visit. Conclusions This is the first documented case of Mycobacterium chimaera infection following cardiac surgery in the mainland of China and the first documented transnational imported case worldwide. Moreover, mNGS is a novel diagnostic technology that can guide antimicrobial therapy prior to obtaining fluid/tissue culture results for Mycobacterium chimaera, providing a new approach for the detection of potential Mycobacterium chimaera infection.

scholarly journals Obstructive Sleep Apnea: A Risk Factor of Cardiac Valve Replacement Surgery

2016 ◽  
Vol 12 (11) ◽  
pp. 1573-1575
Author(s):  
Ning Ding ◽  
Bu-Qing Ni ◽  
Hong Wang ◽  
Shi-Jiang Zhang ◽  
Xi-Long Zhang
Keyword(s):  
Obstructive Sleep Apnea ◽  
Risk Factor ◽  
Sleep Apnea ◽  
Valve Replacement ◽  
Cardiac Valve ◽  
Replacement Surgery ◽  
Obstructive Sleep ◽  
Cardiac Valve Replacement ◽  
Valve Replacement Surgery
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