Document Detail


Non-cardiac surgery in patients with prosthetic heart valves: a 12 years experience.
MedLine Citation:
PMID:  17999845     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Objective: To study patients with mechanical heart valves undergoing non-cardiac surgery and their anticoagulation management during these procedures. Study Design: It was a cohort study. Place and Duration of Study: The study was conducted at the Department of Cardiac Surgery, Punjab Institute of Cardiology, Lahore and Department of Surgery, Services Institute of Medical Sciences, Lahore, from September 1994 to June 2006. Patients and Methods: Patients with mechanical heart valves undergoing non-cardiac surgical operation during this period, were included. Their anticoagulation was monitored and anticoagulation related complications were recorded. Results: In this study, 507 consecutive patients with a mechanical heart valve replacement were followed-up. Forty two (8.28%) patients underwent non-cardiac surgical operations of which 24 (57.1%) were for abdominal and non-abdominal surgeries, 5 (20.8%) were emergency and 19 (79.2%) were planned. There were 18 (42.9%) caesarean sections for pregnancies. Among the 24 procedures, there were 7(29.1%) laparotomies, 7(29.1%) hernia repairs, 2 (8.3%) cholecystectomies, 2 (8.3%) hysterectomies, 1(4.1%) craniotomy, 1(4.1%) spinal surgery for neuroblastoma, 1(4.1%) ankle fracture and 1(4.1%) carbuncle. No untoward valve or anticoagulation related complication was seen during this period. Conclusion: Patients with mechanical valve prosthesis on life-long anticoagulation, if managed properly, can undergo any type of non-cardiac surgical operation with minimal risk.
Authors:
Raja Parvez Akhtar; Abdul Rehman Abid; Hasnain Zafar; Syed Javed Raza Gardezi; Abdul Waheed; Jawad Sajid Khan
Related Documents :
25085805 - Thyroid crisis in the maxillofacial trauma patient.
16352275 - The outcome of cardiac surgery in dialysis-dependent patients.
10704055 - Extracorporeal circulation causes release of neutrophil gelatinase-associated lipocalin...
9461265 - Prevention of secondary hemorrhage in hanuman syndrome (open mediastinal drainage).
21489315 - Enhanced recovery in colorectal surgery: a multicentre study.
23559425 - Coelioscopic orchiectomy can be effectively and safely accomplished in chelonians.
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of the College of Physicians and Surgeons--Pakistan : JCPSP     Volume:  17     ISSN:  1022-386X     ISO Abbreviation:  J Coll Physicians Surg Pak     Publication Date:  2007 Oct 
Date Detail:
Created Date:  2007-11-16     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9606447     Medline TA:  J Coll Physicians Surg Pak     Country:  Pakistan    
Other Details:
Languages:  eng     Pagination:  583-6     Citation Subset:  IM    
Affiliation:
Department of Cardiac Surgery, Punjab Institute of Cardiology, Lahore, Pakistan.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Recruitment to randomised trials: strategies for trial enrollment and participation study. The STEPS...
Next Document:  Alopecia areata in children.