Risk factors for pre, intra, and postoperative hospital mortality in patients undergoing aortic surgery

Abstract

Conclusão: Etnia negra, doença cerebrovascular, hemopericárcio, operação de Cabrol, revascularização miocárdica simultânea, revisão de hemostasia e tempo de CEC associaram-se com risco aumentado de óbito hospitalar. Dor torácica associou-se com risco reduzido de óbito hospitalar. Uso de antifibrinolítico, complicação renal, complicação pulmonar, EuroScore e tempo de CEC associaram-se ao desfecho clínico composto hospitalar.

Dacron Graft Intussusception Technique for Treatment of Type A Aortic Dissections: Technical Notes and Preliminary Results

“…The intraoperative factors of long perfusion time (cardiopulmonary bypass time > 4 hours), prolonged operation time (> 6 hours), and massive blood transfusion (> 20 units) were found to be statistically significant risk factors for hospital death including operative death. Massive blood transfusion during operation can mean technical difficulties, unfavorable anatomy, or intraoperative complications, and these factors can contribute to prolonged operation or cardiopulmonary bypass time and, therefore, affect surgical outcome [ 16 , 18 ] .…”

Nursing diagnoses for patients in the postoperative period of cardiac surgery

“…All the patients who underwent cardiac surgery are at risk of infection and bleeding, due to invasive procedures such as bladder catheterization, central venous access, chest and mediastinal drains, arterial access for mean arterial pressure, besides the destruction of tissues and primary defenses. Besides these, blood transfusion is associated with infection and morbidity, because there is blood loss and blood transfusion (17) .…”

Letters to the Editor

“…IAA is a rare congenital malformation and could be seen very rarely in late adulthood [ 2 , 3 ] . Complex diseases associated with IAA should be managed in either of single stage or two-stage procedures [ 2 - 4 ] . Although Burton et al [ 2 ] and Lafci et al [ 3 ] reported a successful single-stage treatment of IAA and aortic root replacement, and Yu et al.…”

“…[ 5 ] and Riess et al. [ 6 ] reported a successful single stage treatment of IAA and coronary artery bypass grafting; as in this case, single stage surgeries could be challenging and are associated with high morbidity and mortality [ 2 - 4 ] .…”

“…IAA is usually accompanied by hypertension, and confers a very poor prognosis without treatment [ 2 , 3 ] . Considering that if not treated, patient's prognosis are usually lethal; either single or two stage surgeries should be managed depending on the surgeon's experience and patient's condition [ 2 - 4 ] . In contrast to conservative management, early treatment of IAA prevents possible aortic rupture and associated cardiac dysfunction in such a critical patient.…”