Açık Kalp Cerrahisi Sonrası Kanama veya Tamponad Nedeniyle Erken Dönemde Acil Yapılan Revizyonlar

Turkish

Aim: After open heart surgery in patients with hemodynamic instability due to bleeding and / or pericardial tamponade interventions must be done without losing time. Although urgent revision rate vary according to clinical to clinical. More than 80 % of cases is due to the bleeding. Here we want to offer patients where we take urgent revision. Materials and Methods: Between January 2013 and June 2014, 123 open heart surgery is performed by two surgeons. 9 patients (7.3 %) (one female, eight male ) were taken Urgent revision due to bleeding and / or pericardial tamponade. The mean age of the patients was 57,7 . Female patient underwent mitral valve replacement (MVR) + coronary artery bypass graft (CABG), other patients underwent CABG surgery. Results: MVR + CABG patient in the post-op day 4 , other patients post-op within the first 8 hours were operated for revision. Saphenous vein distal anastomoses were bleeding in two patients. One patient had bleeding as a common oozing. İn other patients could not be detected focus will explain the bleeding. There was no bleeding in patients undergoing MVR + CABG surgery, but she had serous fluid. Nosocomial infection occurred in two patients. There was no mortality among patients undergoing revision. Conclusion: If hemodynamic deterioration occurs in patients after open heart surgery, making rapid assessment and taking urgent revision, we believe will reduce mortality and morbidity