Cardiac Complications Following Cardiac Surgery Procedures

Abstract

Background: Elderly patients and those with multiple concomitant disorders are nowadays qualified for cardiac surgery procedures, which is related to higher incidence of the postoperative complications. Aim: The aim of this study was a retrospective analysis of the perioperative factors potentially contributing to occurrence of cardiac incidents after cardiac surgery procedures. Methods: Data of 552 patients of the cardiac surgery clinic were collected and analyzed. Data concerning medical history, previous treatment, laboratory results, additional tests results, operation and hospitalization period were examined. Results: In the study population of 552 patients, cardiac complications were observed in 49.5% of them. Among cardiac complications, the most frequent were supraventricular tachycardia (30.1%) and atrial fibrillation (27.4%). Postoperative bradycardia occurred in 5.25% patients, half of whom required temporary cardiac pacing. Conclusions: The risk of incidence of cardiac complications after cardiac surgery procedures depends mostly on patient’s age, EuroSCORE Logistic (ESL) score, left ventricular ejection fraction, myocardial hypertrophy, presence of paroxysmal AF and coincidence of nephrological complications. The necessity of performing more than one heart defibrillation after removing aortic cross-clamp favors early postoperative bradycardia. Considering the outcomes of this study, continuing reperfusion at least until 1/3 of the aortic cross-clamp time brings no additional benefits to the patients.

Postoperative cardiac troponin I as an indicator of surgical outcomes: A systematic review

“…A retrospective analysis of 552 patients undergoing CABG and valvular replacement reported postoperative myocardial infarction occurrence in 0.9% of the patients, cardiac arrest symptoms in 2.7%, and mortality secondary to multiple organ failure in 3.1% after these procedures. 5 In another study from Africa, the perioperative mortality rate was recorded as 11.2% which was significantly higher than the mortality rates reported in other countries. 6 As the world is progressing, the trend of traditional cardiac surgeries is discerning to decline, majorly because of their perioperative complications and high mortality rates.…”

Construction and validation of a nomogram for predicting survival in elderly patients with cardiac surgery

“…Population aging has been accompanied by the rapid growth of elderly populations and a series of health-related problems, becoming a major concern. Age is well-established to be associated with adverse outcomes in postoperative cardiac patients, particularly in the elderly ( 3 , 4 , 15 ). In elderly patients with insufficient organ reserve capacity, the body is in a chronic inflammatory state, which is the cause of a high incidence of perioperative adverse events.…”

Superior Vena Cava Syndrome due to pericardial hematoma: A case report and mini-review of literature

“…Several most common post–cardiac surgery complications involve cardiovascular, respiratory, kidneys, and central nervous systems ( Table 1 ). 2 , 3 …”

“…Several most common post-cardiac surgery complications involve cardiovascular, respiratory, kidneys, and central nervous systems (Table 1). 2,3 SVCS after cardiac surgery is a rare condition that has been described by several cases (Table 2). The most common etiology of SVCS after cardiac surgery is due to SVC blockage caused by intravascular thrombus.…”