Akademik Veri Yönetim Sistemi
Duzce Medical Journal, cilt.14, sa.2, ss.45-47, 2012 (Scopus)
Aim: In this article, our aim is to present the first year results of newly founded cardiovascular surgery clinic. Study Plan: Cardiovascular surgery has been carried out on 106 patients from May 2008 to May 2009 after the completion of all preparations within seven months. The number of Male patients were 57 while the womens were 49 and their average age was calculated as 54,75 years. 19 individuals of total 93 patients who took coronary arterial by-pass were operated by off pump surgery. Of 10 patients who were operated by valve surgery, 5 of them were AVR, 4 patients were MVR and one was operated by both AVR and MVR. 2 patients were treated by ascending aorta due to aneurysm. Adult congenital surgery was applied to one patient due to secundum type atrial septal defect. The major comorbidities in all patients were cronic obstructive lung disease (n=42), type-II diabetes mellitus (n=35), left ventricul disfonction (LV EF%:30-50 n=19), peripherial arterial disease (PAD n=8) morbid obesity (BMI≥40 n=5), and cronic renal failor (n=2). Findings: The mortality rate of the hospital is about 3.7% due to the death of four patients who took coronary arterial bypass surgery. And the coronary surgery mortality ratio was calculated as 3.7 %. One of lost patients had both coroner artery disease and abdominal aort aneurysm. Due to aneurysm, operation to patient was planned in 3 rd month after coronary surgery. Aneurysm rupture was formed after extubation in 8th hour of post operation.Aorto-biiliac by pass surgery was immediately applied to the patient. After the development of low cardiac output, the patient was lost. In second mortality, the risk scor of coronery surgery was very high (Euro scoration= 9). In 5 th day of post operative monitoring in service, The coronary arter patient, having preoperative unstable angina pectoris, was lost due to fast developing pulmoner aspiration after respiratuar and cardiac arrest. In third mortality, the patient was retransferred to intensive care due to cerebrovascular stroke in 5. day of postoperation. Despite the early care, the patient was lost at intensive care by pneumonia and sepsis in 44 th day of postoperation. The fourth mortality was occured in 5 th day of bilateral spontaneous pneumothorax development. The morbiditiy ratio was calculated as 6.6 % since 7 patient were re-explorated due to bleeding. No infection including superficial skin infection was experienced. Result: It is inevitable to experience some defections up to the formation of routine sequence in newly founded open hearth surgery centers. In this context, more careful attempts should be considered to prevent the increase in mortality and morbidity. We consider our clinic adequately successful with respect to local and international standarts, in terms of mortality and morbidity, although it is newly set up. © 2012 Düzce Medical Journal.