Clinical Experiences of Open Heart Surgery.
- Author:
Haneuloo KIM
1
;
Gyung Taek PARK
;
Kwang Hoon PARK
;
Gee Oh KWAK
;
Byung Hoon KIM
;
Il Yong HAN
;
Dong Wook PARK
;
Young Hwan SO
;
Suk Chul CHOI
;
Kang Joo CHUI
;
Ji Yun YU
;
Yang Haeng LEE
;
Yun Ho HWANG
;
Kwang Hyun JO
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Pusan Paik Hospital, College of Medicine, Inje University, Korea.
- Publication Type:Original Article
- Keywords:
Open heart surgery;
Clinical analysis
- MeSH:
Age Distribution;
Aortic Aneurysm;
Aortic Valve;
Busan;
Coronary Artery Bypass;
Dilatation, Pathologic;
Endocardial Cushion Defects;
Heart Defects, Congenital;
Heart Diseases;
Heart Neoplasms;
Heart Septal Defects, Atrial;
Heart Septal Defects, Ventricular;
Heart Valve Diseases;
Heart Ventricles;
Heart*;
Hospital Mortality;
Humans;
Mitral Valve;
Mortality;
Myocardial Ischemia;
Pulmonary Valve Stenosis;
Rupture;
Sinus of Valsalva;
Tetralogy of Fallot;
Thoracic Surgery*;
Transplants;
Transposition of Great Vessels;
Tricuspid Valve
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
1998;31(12):1183-1194
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: From Sept. 1985 to Sept. 1997, 2,000 cases of open heart surgery (OHS) were performed in the Department of Thoracic & Cardiovascular Surgery, Pusan Paik Hospital, College of Medicine, Inje University. MATERIAL AND METHOD: Among the total of 2,000 cases of OHS, 1532 cases were congenital heart disease (CHD) and 468 cases were acquired heart disease (AHD). The age distribution was 9 days (4.0kg) to 68 years in CHD and 11 to 66 years in AHD. In 1532 cases of CHD, there were 1403 acyanotic cases and 129 cyanotic cases. RESULT: The CHD cases consisted of 940 ventricular septal defects (61.4%), 324 atrial septal defects (21.1%), 112 tetralogy of Fallot (7.3%), 46 pulmonary stenosis (3%), 38 endocardial cushion defects (2.5%), 15 valsalva sinus ruptures (1%), 4 transposition of great arteries (0.3%), 4 double outlet right ventricles (0.3%), and etc. Corrective operations were applied for congenital heart disease with a result of 3.1% hospital mortality. Of 468 AHD, 381 cases were valvular heart diseases, 48 ischemic heart diseases, 12 cardiac tumors, 8 annuloaortic ectasias, 16 dissecting aortic aneurysms and etc. In the 381 valvular heart diseases, there were 226 single valve replacements (36 aortic valve replacements (AVR), 188 mitral valve replacements (MVR), and 2 tricuspid valve replacements (TVR), among these were 71 cases of double valve replacements (AVR & MVR), 54 cases of MVR with tricuspid valve annuloplasty (TVA), and 18 cases of AVR, MVR with TVA. The total implanted prosthetic valves were 466. In MVR, 123 St. Jude Medical valves, 90 Carpentier-Edwards valves, 65 CarboMedics valves, 42 Sorin valves and 16 other valves were used. In AVR, 68 St. Jude Medical valves, 36 CarboMedics valves, 14 Carpentier-Edwards valves and 9 other valves were used. Coronary Artery Bypass Surgery (CABG) were performed in 48 cases. The patterns of bypass graft were 14 patients of single vessel graft, 21 patients of two vessels graft, 10 patients of three vessels graft and 3 patients of four vessels graft. CONCLUSION: The hospital operation mortality rate of congenital acyanotic, cyanotic and acquired heart diseases were 2.0%, 15.5%, and 5.1% respectively. The overall mortality rate was 3.6% (72/2,000).
