Document Detail


The determinants of mortality and morbidity after multiple-valve operations.
MedLine Citation:
PMID:  3566379     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The factors predictive of hospital mortality and morbidity after contemporary multiple-valve surgical procedures were identified to develop strategies to improve the results of such procedures. Preoperative, intraoperative, and postoperative information was collected prospectively on 90 consecutive patients undergoing surgical procedures between 1982 and 1984. The operative mortality was 5.6%, and the incidence of postoperative low-output syndrome was 16.7%. Multivariate logistic regression analysis identified tricuspid regurgitation (p less than .03, improvement-of-fit chi square) and the aortic valve lesion (p less than .03) as the independent predictors of postoperative complications (mortality or low-output syndrome). Patients with tricuspid regurgitation and right ventricular decompensation and those with aortic stenosis and left ventricular hypertrophy had limited ventricular functional reserve and faced an increased risk. Improved methods of myocardial protection may reduce the risk in these patients.
Authors:
K H Teoh; G T Christakis; R D Weisel; C P Tong; L L Mickleborough; H E Scully; B S Goldman; R J Baird
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  43     ISSN:  0003-4975     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  1987 Apr 
Date Detail:
Created Date:  1987-05-04     Completed Date:  1987-05-04     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  353-8     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Anesthesia, General / methods
Aortic Valve / surgery
Female
Heart Catheterization
Heart Valve Diseases / physiopathology,  surgery
Heart Valve Prosthesis / adverse effects*,  mortality
Hemodynamics
Humans
Male
Middle Aged
Mitral Valve / surgery
Prospective Studies
Risk
Statistics as Topic

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


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