scholarly journals The Effects of Cold Blood Cardioplegia with and without Adenosine on Hemodynamic Status of Patients Undergoing Mitral Valve Surgery

2019 ◽  
Vol 11 (1) ◽  
Author(s):  
Fahimeh Ghasemi ◽  
Rasoul Azarfarin ◽  
Sarvenaz Salahi ◽  
Bahador Baharestani ◽  
Alireza Alizadeh Ghavidel
Keyword(s):  
Mitral Valve ◽  
Mitral Valve Surgery ◽  
Valve Surgery ◽  
Blood Cardioplegia ◽  
Hemodynamic Status ◽  
Cold Blood ◽  
Cold Blood Cardioplegia

Abstract 18424: Elective Cardiac Arrest in Isolated Aortic Valve Surgery: Comparison of Blood-cardioplegia versus HTK-Bretschneider Solution in 7005 Consecutive Patients

Circulation ◽  
2015 ◽  
Vol 132 (suppl_3) ◽  
Author(s):  
Alexandro A Hoyer ◽  
Sven Lehmann ◽  
Andreas Oberbach ◽  
Denis A Merk ◽  
Stefan Feder ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Aortic Valve ◽  
Valve Surgery ◽  
Aortic Valve Surgery ◽  
Term Survival ◽  
Blood Cardioplegia ◽  
Cold Blood ◽  
Group B ◽  
Cold Blood Cardioplegia

Introduction: Assessing the impact of HTK-Bretschneider solution versus blood-cardioplegia on short- and long-term outcome after isolated aortic valve replacement (AVR). Hypothesis: HTK-Bretschneider is not inferior to Blood-cardioplegia for isolated aortic valve replacement. Methods: Screening of our institutional database revealed 7290 consecutive patients who underwent AVR between 11/1994 and 06/2015. In the majority of patients (n=5998; 83%) antegrade infusion of htk-bretschneider solution (custodiol®) was used for elective cardiac arrest (Group A). Intermittent cold blood-cardioplegia was chosen in 1007 patients (14%; Group B). All preoperative risk-factors were considered for risk-factor analysis influencing outcome. Results: Early mortality was equal between the subgroups (p=0.22). Postoperative complications like pacemaker implantation (p=0.01) or low cardiac output were more likely to occur in group B (p=0.02). Overall long term survival was inferior for patients receiving elective cardiac arrest with cold blood cardioplegia (p<0.001). Cox-regression identified age (HR: 1.063 ; p<0.001), end stage renal disease (ESDR; HR:4.8; p<0.001), history of PCI (HR: 1.3; p=0.03), active infective endocarditis (AIE; HR: 2.1; p<0.001), neurological dysfunction (HR: 1.4; p=0.02), low ejection fraction (EF<30%; HR: 2.5; p<0.001), prior cardiac surgery (HR:1,5; p=0.02) and emergent surgical intervention (HR: 2.5; p<0.001) being highly associated with long term survival and occurring more frequently in group B. Artificial low-risk and high-risk groups showed no differences in longevity depending on cardioplegic solutions (p=0.35). Conclusions: Blood-cardioplegia for elective cardiac arrest seems to be preferred when complex aortic valve surgery is expected. However, HTK-Bretschneider solution yields equivalent longevity to blood-cardioplegia, even after surgery demanding extended cross-clamp times.

MAGGIC, STS, and EuroSCORE II Risk Score Comparison After Aortic and Mitral Valve Surgery

2020 ◽  
Author(s):  
David X. Zhuo ◽  
Kenneth C. Bilchick ◽  
Kajal P. Shah ◽  
Nishaki K. Mehta ◽  
Hunter Mwansa ◽  
...  
Keyword(s):  
Mitral Valve ◽  
Risk Score ◽  
Mitral Valve Surgery ◽  
Valve Surgery

Mitral valve surgery using minimally invasive versus sternotomy approach – A propensity matched analysis

2012 ◽  
Vol 60 (S 01) ◽  
Author(s):  
A Cetinkaya ◽  
A Van Linden ◽  
M Schönburg ◽  
J Kempfert ◽  
M Tackenberg ◽  
...  
Keyword(s):  
Mitral Valve ◽  
Minimally Invasive ◽  
Mitral Valve Surgery ◽  
Valve Surgery
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