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- W2103497714 abstract "Amac: Bu calismada acik kalp cerrahisi sonrasi gelisen aortik patolojilerin risk faktorleri degerlendirildi. Calismaplani:Ocak 2000 Ocak 2009 tarihleri arasinda klinigimizde vucut disi sirkulasyon ile acik kalp cerrahisi uygulanmis 13.995 hasta retrospektif olarak incelendi. Bu hastalar icinden daha once acik kalp cerrahisi gecirmis olan ve sonrasinda aortik patoloji tespit edilen 50 hasta (39 erkek, 11 kadin; ort. yas 52.1±13.9 yil; dagilim 21-80 yil) calismaya dahil edildi. Her iki ameliyat arasinda gecen ortalama sure 8.5±7.4) ay (dagilim 1-31 ay) idi. Bul gu lar: Total mortalite orani %32 idi (n=15). Acil olarak ameliyata alinan bes hastanin tamami kaybedildi. Ilk ameliyattaki aort caplari 4.1 cm iken, ikinci ameliyatta tespit edilen ortalama aort capi 5.5 cm idi. Sag kalan hastalara kiyasla, mortalite grubunda yas, aortik kros klemp zamani ve total perfuzyon zamani daha yuksekti (p<0.05). Sonuc: Yasam beklentisinin artmasina paralel olarak, redo ameliyatlarin sikliginin artacagi ve bu ameliyatlarin mortalitesinin yas ile birlikte arttigi goz onunde bulundurulmalidir. Bu nedenle ilk ameliyatlarda palyatif yaklasimlardan ziyade daha radikal cerrahi girisimler uygulanabilir. Anah tar soz cuk ler: Aortik anevrizma; aortic diseksiyon; aort kapak replasmani; koroner arter baypas greftleme; mitral kapak replasmani. Background:This study aims to assess the risk factors for aortic pathologies developing following open heart surgery. Methods: Between January 2000 and January 2009, 13,995 patients who underwent open heart surgery under extracorporeal circulation in our clinic were retrospectively analyzed. Among these patients, 50 with a previous history of cardiac surgery (39 males, 11 females; mean age 52.1±13.9 years; range 21 to 80 years) followed by an aortic pathology were enrolled. The mean time lapse between two operations was 8.5±7.4 months (range 1-31 months). Results:The rate of total mortality was %32 (n=15). All of the five patients who underwent emergent operations died. The mean aortic diameter during the first operation was 4.1 cm, while it was 5.5 cm during the second operation. Age, aortic cross-clamping time and total perfusion time were higher in the mortality group compared to the survivors (p<0.05). Conclusion:In parallel with the increasing life expectancy, it should be kept in mind that the frequency of redo operations may increase with an increasing mortality rate depending on the age. More radical surgical interventions, thus, may be used in lieu of palliative approaches during the first operation." @default.
- W2103497714 created "2016-06-24" @default.
- W2103497714 creator A5012065757 @default.
- W2103497714 date "2013-01-20" @default.
- W2103497714 modified "2023-09-25" @default.
- W2103497714 title "Aortic pathologies after cardiac surgery" @default.
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- W2103497714 doi "https://doi.org/10.5606/tgkdc.dergisi.2013.6897" @default.
- W2103497714 hasPublicationYear "2013" @default.
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