From the Department of Cardiovascular Surgery, Shahid Rajai Heart Hospital, Iran University of Medical Sciences, Tehran, I.R. Iran.
Abstract: (4736 Views)
From March 1990 to May 1993,309 patients underwent redo cardiac surgery
operation at the Shahid Rajai Heart Hospital in Tehran. Early mortality rates in
these patients showed a significant increase in comparison to patients undergoing
open heart surgery for the first time. Late mortality (at least one month after
surgery) in the patients was slightly increased also but less than early mortality
rates. The causes and factors involved in mortality of the patients are discussed in
detail. Comparison of mortality rates in our patients with that reported in the
literature reveals similar mortality in these patients, and thus the presence of
definite and irrefutable factors which influence this risk. These factors consist of
the patients' function class, age, surgical procedure, number of prosthetic valves
in place, duration of cardiopulmonary bypass, degree of hypothermia and duration
of myocardial ischemia. These factors are evaluated in this report.