scholarly journals Predictors and Early Outcome of Prolonged Mechanical Ventilation in Contemporary Heart valve Surgery

2015 ◽  
Vol 74 (1) ◽  
Author(s):  
Mahmood Shirzad ◽  
Abbasali Karimi ◽  
Seyed Hossein Ahmadi ◽  
Mehrab Marzban ◽  
Mokhtar Tazik ◽  
...  
Keyword(s):  
Mechanical Ventilation ◽  
Heart Valve ◽  
Prolonged Mechanical Ventilation ◽  
Postoperative Management ◽  
Valve Surgery ◽  
Heart Valve Surgery ◽  
Emergent Operation ◽  
Prophylactic Measures ◽  
Study Results ◽  
Patients At Risk

Background: During last decades mechanical ventilation has been an important support in the postoperative management of patients undergoing cardiac surgery. This study was designed to determine the predictors of prolonged mechanical ventilation (PMV) in patients undergoing heart valve surgery. Methods: This retrospective study considered of 1056 patients who underwent isolated valve surgery at Tehran Heart Center from March 2002 to March 2009. PMV is considered as mechanical ventilation period of ≥24 hours at postoperative hospital stay in this study. Results: PMV occurred in 6.6% of patients. Initial ventilation hours, atrial fibrillation, cardiac arrest and reintubation were the most prevalent postoperative complications. Preoperative renal failure, postoperative stroke, intra aortic balloon pump insertion, emergent operation, complete heart block, longer perfusion time were independent predictors of PMV in our patients. Conclusion: PMV is associated with significant comorbidities and increased hospital mortality. Strategies to delineate the patients at risk and to modify these risk factors by prophylactic measures should probably lead to a lower incidence of prolonged mechanical ventilation for patients undergoing isolated valve surgery.

scholarly journals Early Outcomes in Patients with Severe Dilated Left Ventricle Disease after Heart Valve Surgery

2021 ◽  
Author(s):  
Siming Zhu ◽  
Shengli Jiang
Keyword(s):  
Mechanical Ventilation ◽  
Left Ventricle ◽  
Heart Valve ◽  
Left Ventricular ◽  
Valve Surgery ◽  
Left Ventricular Ejection ◽  
Prognostic Impact ◽  
Heart Valve Surgery ◽  
Vasoactive Agents

Objectives: The study sought to examine the prognostic impact of valvular surgery in patients with severe dilated left ventricle(DL) and assess morphological and functional changes of DL in the early period after operation. Methods: From January 2013 to December 2018, at a single center, 126 patients with severe dilated left ventricle (DL group) and 511 patients with 511 patients with normal sized left ventricle (NL group) underwent heart valve surgery. Retrospective review of the procedure and the postoperative clinical course, including echocardiography were analyzed in 6 to 12-month follow up. Results: Compared with NL group, DL group had significantly higher postoperative all-cause mortality (3.2% vs 1.4%) and complication rate, as well as longer duration of mechanical ventilation and vasoactive agents support. In DL group, 4 (3.2%) patients died in the early postoperative stage among which 2 (1.6%) patients died from multiple organ failure (MOF) secondary to severe low-output syndrome, 2 (1.6%) patients died from ventricular fibrillation. The DL group had longer time of mechanical ventilation and vasoactive agents support than NL group postoperatively. In DL group, the progressive regression of end-diastole diameter (LVEDD) was observed during the follow-up; whereas left ventricular ejection function (LVEF) and left ventricular fractional shortening (LVFS) showed a temporary decrease in early postoperative stage and then improved gradually. Conclusion: Heart valve surgery performed in an experienced center, along with sophisticated perioperative management, could bring satisfying early outcomes to patients with severe dilated left ventricle.

scholarly journals Preoperative respiratory muscle dysfunction is a predictor of prolonged invasive mechanical ventilation in cardiorespiratory complications after heart valve surgery

2011 ◽  
Vol 39 (5) ◽  
pp. 662-666 ◽  
Author(s):  
Alfredo José Rodrigues ◽  
Viviany Mendes ◽  
Paulo Eduardo Gomes Ferreira ◽  
Marcia Arruda Fajardo Xavier ◽  
Viviane Santos Augusto ◽  
...  
Keyword(s):  
Mechanical Ventilation ◽  
Heart Valve ◽  
Respiratory Muscle ◽  
Invasive Mechanical Ventilation ◽  
Valve Surgery ◽  
Muscle Dysfunction ◽  
Heart Valve Surgery

Beating heart valve surgery as possible alternative for high risk patients

2005 ◽  
Vol 53 (S 3) ◽  
Author(s):  
J Easo ◽  
M Horst ◽  
P Hoelzl ◽  
E Natour ◽  
O Dapunt
Keyword(s):  
High Risk ◽  
Heart Valve ◽  
Beating Heart ◽  
Valve Surgery ◽  
Heart Valve Surgery ◽  
High Risk Patients ◽  
Risk Patients

Patient perceptions of experience with cardiac rehabilitation after isolated heart valve surgery

2017 ◽  
Vol 17 (1) ◽  
pp. 45-53 ◽  
Author(s):  
Tina B Hansen ◽  
Selina K Berg ◽  
Kirstine L Sibilitz ◽  
Ann D Zwisler ◽  
Tone M Norekvål ◽  
...  
Keyword(s):  
Cardiac Rehabilitation ◽  
Heart Valve ◽  
Isolated Heart ◽  
Personal Responsibility ◽  
Training Programme ◽  
Valve Surgery ◽  
Rehabilitation Programme ◽  
Heart Valve Surgery ◽  
Structured Interviews ◽  
Cardiac Rehabilitation Programme

Background: Little evidence exists on whether cardiac rehabilitation is effective for patients after heart valve surgery. Yet, accepted recommendations for patients with ischaemic heart disease continue to support it. To date, no studies have determined what heart valve surgery patients prefer in a cardiac rehabilitation programme, and none have analysed their experiences with it. Aims: The purpose of this qualitative analysis was to gain insight into patients’ experiences in cardiac rehabilitation, the CopenHeartVR trial. This trial specifically assesses patients undergoing isolated heart valve surgery. Methods: Semi-structured interviews were conducted with nine patients recruited from the intervention arm of the trial. The intervention consisted of a physical training programme and a psycho-educational intervention. Participants were interviewed three times: 2–3 weeks, 3–4 months and 8–9 months after surgery between April 2013 and October 2014. Data were analysed using qualitative thematic analysis. Results: Participants had diverse needs and preferences. Two overall themes emerged: cardiac rehabilitation played an important role in (i) reducing insecurity and (ii) helping participants to take active personal responsibility for their health. Despite these benefits, participants experienced existential and psychological challenges and musculoskeletal problems. Participants also sought additional advice from healthcare professionals both inside and outside the healthcare system. Conclusions: Even though the cardiac rehabilitation programme reduced insecurity and helped participants take active personal responsibility for their health, they experienced existential, psychological and physical challenges during recovery. The cardiac rehabilitation programme had several limitations, having implications for designing future programmes.

Awake Heart Valve Surgery in a Patient With Severe Pulmonary Disease

2008 ◽  
Vol 86 (1) ◽  
pp. 293-295 ◽  
Author(s):  
Piotr Knapik ◽  
Roman Przybylski ◽  
Paweł Nadziakiewicz ◽  
Marian Zembala
Keyword(s):  
Pulmonary Disease ◽  
Heart Valve ◽  
Valve Surgery ◽  
Heart Valve Surgery ◽  
Severe Pulmonary Disease
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