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Journal articles on the topic 'Heart – Surgery – Complications'

Author: Grafiati

Published: 4 June 2021

Last updated: 2 February 2022

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1

Khan, Jamal H., April M. Lambert, Joseph H. Habib, Mike Broce, Mary S. Emmett, and Elaine A. Davis. "Abdominal Complications After Heart Surgery." Annals of Thoracic Surgery 82, no. 5 (November 2006): 1796–801. http://dx.doi.org/10.1016/j.athoracsur.2006.05.093.

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2

Healy, Fiona, Brian D. Hanna, and Raezelle Zinman. "Pulmonary Complications After Congenital Heart Surgery." Current Respiratory Medicine Reviews 7, no. 2 (April 1, 2011): 78–86. http://dx.doi.org/10.2174/157339811794927879.

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3

KURT, Muhammed, Jens LITMATHE, Ansgar ROEHRBORN, Peter FEINDT, Udo BOEKEN, and Emmeran GAMS. "Abdominal complications following open-heart surgery." Acta Cardiologica 61, no. 3 (June 1, 2006): 301–6. http://dx.doi.org/10.2143/ac.61.3.2014832.

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4

Leahy, Noreen M. "Neurologic complications of open heart surgery." Journal of Cardiovascular Nursing 7, no. 2 (January 1993): 41–42. http://dx.doi.org/10.1097/00005082-199301000-00006.

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5

Alfieri, Anthony, and Morris N. Kotler. "Noncardiac complications of open-heart surgery." American Heart Journal 119, no. 1 (January 1990): 149–58. http://dx.doi.org/10.1016/s0002-8703(05)80095-x.

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6

Haddy, Steven, Maged Mikhail, Durai Thangathurai, and Christina Warneck. "Complications in patients having heart surgery." Seminars in Anesthesia, Perioperative Medicine and Pain 15, no. 3 (September 1996): 256–72. http://dx.doi.org/10.1016/s0277-0326(96)80016-x.

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7

Gilman, Sid. "Neurological complications of open heart surgery." Annals of Neurology 28, no. 4 (October 1990): 475–76. http://dx.doi.org/10.1002/ana.410280402.

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8

Sever, Kenan, Cihan Ozbek, Burce Goktas, Serap Bas, Murat Ugurlucan, and Denyan Mansuroglu. "Gastrointestinal Complications After Open Heart Surgery." Angiology 65, no. 5 (April 9, 2013): 425–29. http://dx.doi.org/10.1177/0003319713482357.

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9

Walsh, Shaun K., Michael A. Gardner, E. Gregory Stanfford, Mark F. O'Brien, and John F. Graff. "Gastrointestinal complications of open heart surgery." Asia Pacific Journal of Thoracic & Cardiovascular Surgery 3, no. 1 (July 1994): 49. http://dx.doi.org/10.1016/1324-2881(94)90084-1.

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10

Groves, P. "VALVE DISEASE: Surgery of valve disease: late results and late complications." Heart 86, no. 6 (December 1, 2001): 715–21. http://dx.doi.org/10.1136/heart.86.6.715.

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11

Akpinar, Belhhan, Ertan Săgbaş, Mustafa Güden, Kubilay Kemertaş, Bingür Sönmez, Osman Bayindir, and Cem'i Demiroğlu. "Acute Gastrointestinal Complications after Open Heart Surgery." Asian Cardiovascular and Thoracic Annals 8, no. 2 (June 2000): 109–13. http://dx.doi.org/10.1177/021849230000800204.

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Retrospective analysis revealed that 24 of 4401 adult patients (0.5%) developed severe gastrointestinal complications after open heart surgery during a 3-year period from January 1995. There were 4 women (17%) and 20 men (83%). Mean age was 61.7 ± 2.02 years. Gastrointestinal bleeding (33.3%), mesenteric ischemia (20.8%), pancreatitis (20.8%), hepatic dysfunction (16.7%), and cholecystitis (16.7%) were the most common complications. Mortality was 41.7% (10 patients). During the same period, mortality in the patients who did not develop gastrointestinal complications was 1.89% (p < 0.0001). Emergency basis, reoperation, combined operations, peripheral vascular disease, diabetes mellitus, chronic lung disease, and impaired left ventricle function were found to be risk factors for the development of postoperative gastrointestinal complications.

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12

Golubovic, Miodrag, Bogoljub Mihajlovic, Pavle Kovacevic, Nada Cemerlic-Adjic, Katica Pavlovic, Lazar Velicki, and Stamenko Susak. "Postoperative nonlethal complications following open heart surgery." Vojnosanitetski pregled 69, no. 1 (2012): 27–31. http://dx.doi.org/10.2298/vsp1201027g.

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Background/Aim. Postoperative nonlethal complications after open heart surgery are a serious clinical problem causing a considerable engagement of health workers, an augmented use of drugs, and prolonged operation incapacity leading to prolonged hospital stay and increased expenses. The aim of the study was to establish whether there is any correlation between the level of expected operative risk and postoperative nonlethal complications. Methods. A consecutive series of 853 patients subjected to the open heart surgery were investigated, 622 (73%) males and 231 (27%) females. The average age of the patients was 57.2 ? 9.9 (16-81) years. The patients were divided into 3 groups according to the additive EuroSCORE model: groups I, II and III with the expected operative risk of 0%-2%, 2%- 5% and over 5%, respectively. The data were collected prospectively and analyzed retrospectively. Statistical methods of correlation and t-test were used. Results. A high degree of correlation between the operative risk level and frequency of postoperative nonlethal complications (R = 0.98) was found. The average rate of complications was 24% for the whole group of 853 patients. It accounted for 21%, 29% and 47% in the groups I, II and III, respectively. According to the expected operative risk level there was a statistically significant difference in respect of heart arrhythmias (p = 0.02), neurologic complications (p = 0.002), and pulmonary complications (p = 0.009). Conclusion. Our results show a high degree of correlation between the expected level of operative risk according to the EuroSCORE model and the frequency of postoperative nonlethal complications. There is a statistically significant difference in respect to frequency of heart rhythm disturbances, pulmonary and neurological complications and expected operative mortality.

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13

Canver, Charles C., and Roger C. Fiedler. "Venous Thromboembolic Complications After Open Heart Surgery." Vascular Surgery 26, no. 3 (April 1992): 213–17. http://dx.doi.org/10.1177/153857449202600305.

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14

Watson, C. J. E., N. V. Jamieson, P. S. Johnston, T. Wreghitt, S. Large, J. Wallwork, and T. A. H. English. "Early abdominal complications following heart and heart–lung transplantation." British Journal of Surgery 78, no. 6 (June 1991): 699–704. http://dx.doi.org/10.1002/bjs.1800780622.

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15

Anghel, Diana, Radu Anghel, Flavia Corciova, Mihail Enache, and Grigore Tinica. "Preoperative Arrhythmias Such as Atrial Fibrillation: Cardiovascular Surgery Risk Factor." BioMed Research International 2014 (2014): 1–7. http://dx.doi.org/10.1155/2014/584918.

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Atrial fibrillation is still the most common arrhythmia that occurs in heart surgery. However, there is few literature data on the manner in which preoperative atrial fibrillation may influence the postoperative outcome of various heart surgery procedures. The purpose of our research is to assess the effects of preoperative atrial fibrillation on patients having undergone different heart surgery procedures. The results of our research are a review of clinical data which were collected prospectively, over a 10-year period, from all the patients who had undergone heart surgery in our Institute. The study group included 1119 heart surgery patients, who were divided as follows: the preoperative AFib group (n=226, 20.19%) and the sinus rhythm group (n=893, 79.80%). Major postoperative complications and hospital mortality rates were analyzed. According to our statistical analysis, preoperative atrial fibrillation significantly increased the mortality risk (P=0.001), the patients’ mechanical ventilation needs (P=0.022), the rate of occurrence of infectious complications (P<0.5), the rate of occurrence of complications such as acute kidney failure (P=0.012), and the time spent by the patients in the intensive care ward (P<0.01). In conclusion, preoperative atrial fibrillation in heart surgery patients increases the mortality and major complication risk further to heart surgery.

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16

Yaroustovsky, M. B., M. V. Abramyan, N. S. Nazarov, E. V. Komardina, and S. S. Volkova. "Abdominal complications after heart surgery with cardiopulmonary bypass." Bulletin of Bakoulev Center "Cardiovascular Diseases" 19, no. 3 (2018): 318–26. http://dx.doi.org/10.24022/1810-0694-2018-19-3-318-326.

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17

Bang, H., and C. K. King. "48 Complications following Open Heart Surgery - Patient Experiences." European Journal of Cardiovascular Nursing 8, no. 1_suppl (April 2009): S31. http://dx.doi.org/10.1016/s1474-5151(09)60098-0.

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18

Raker, Richard K. "Anesthetic complications in surgery for congenital heart disease." Journal of Pediatric Surgery 20, no. 2 (April 1985): 190. http://dx.doi.org/10.1016/s0022-3468(85)80308-0.

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19

Marty, Alan T., and Evansville. "Cardiac and Noncardiac Complications of Open Heart Surgery." Critical Care Medicine 21, no. 5 (May 1993): 811. http://dx.doi.org/10.1097/00003246-199305000-00036.

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20

Kansy, Andrzej, Tjark Ebels, Christian Schreiber, Jeffrey P. Jacobs, Zdzislaw Tobota, and Bohdan Maruszewski. "Higher programmatic volume in paediatric heart surgery is associated with better early outcomes." Cardiology in the Young 25, no. 8 (December 2015): 1572–78. http://dx.doi.org/10.1017/s1047951115002073.

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AbstractObjectivePrevious analyses have suggested an association between centre volume and in-hospital mortality, post-operative complications, and mortality in those patients who suffer from a complication. We sought to determine the nature of this association using a multicentre cohort.MethodsAll the patients, aged 18 years or younger, undergoing heart surgery at centres participating in the European Congenital Heart Surgeons Database (2003–2013) were included. Programmes were grouped as follows: small <150; medium 150–250; large 251–349; very large >350. Multivariable logistic regression was used to identify the differences between groups with the adjusted in-hospital mortality, onset of any and/or major complication, and in-hospital mortality in those patients with any and/or major complication. The outcomes were adjusted for patient specific risk factors and surgical risk factors.ResultsThe data set consisted of 119,345 procedures performed in 99 centres. Overall, in-hospital mortality was 4.63%; complications occurred in 23.4% of the patients. In-hospital mortality in patients with complications was 13.82%. Multivariable logistic regression showed that the risk of in-hospital death was higher in low- and medium-volume centres (p<0.001). The rate of the occurrence of any post-operative complication in small, medium, and large programmes was lower compared with very large centres (p<0.001). Low- and medium-volume centres were associated with significantly higher mortality in patients with any complication (p<0.001).ConclusionsOur analysis showed that the risk of in-hospital mortality was lower in higher-volume centres. Although the risk of complications is higher in high-volume centres, the mortality associated with complications that occurred in these centres was lower.

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21

Mirzaei, Maryam, Samaneh Mirzaei, Elham Sepahvand, Afifeh Rahmanian Koshkaki, and Marzieh Kargar Jahromi. "Evaluation of Complications of Heart Surgery in Children With Congenital Heart Disease at Dena Hospital of Shiraz." Global Journal of Health Science 8, no. 5 (August 23, 2015): 33. http://dx.doi.org/10.5539/gjhs.v8n5p33.

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<p><strong>INTRODUCTION:</strong> Today, with progress in the field of congenital heart surgery, different complicated actions are done in children. These actions may be associated with several complications, especially open heart surgery in which the cardiopulmonary bypass (CPB) is used. Serious complications can be caused high morbidity and mortality rates. Present study has been performed to determine the incidence of morbidity and mortality in cardiac surgery in children.</p> <p><strong>METHOD:</strong> In a cross-sectional retrospective, records of 203 patients undergoing surgery for congenital heart disease in Dena hospital during 2013-2015 were reviewed for incidence of complications. Data was analyzed by using descriptive and analytical statistics and using SPSS version 18.</p> <p><strong>RESULTS:</strong> The mean age of samples was 3/65±4/47 years. The majority of samples (73/8%) were undergoing open surgery. The overall adverse cardiovascular complications were respectively, renal complications (44/3%), lung (40/3%), anemia (35/9%), heart (34/4%), gastrointestinal (17/2%), brain (14/2%), need for re-intubation of the trachea 11/3%), infection (7/8%) required reoperation (5/9%) and vascular complications (1/4%).</p> <p><strong>CONCLUSION:</strong> High incidence of complications after congenital heart surgery makes necessary attention to complications and their treatment after surgery. It is necessary to apply the measures and careful monitoring of patients to minimize these effects.</p>

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22

Atasever, A., F. Bacakoglu, F. E. Uysal, S. Nalbantgil, T. Karyagdi, A. Guzelant, and A. Sayiner. "Pulmonary Complications in Heart Transplant Recipients." Transplantation Proceedings 38, no. 5 (June 2006): 1530–34. http://dx.doi.org/10.1016/j.transproceed.2006.02.098.

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23

Mangi, Abeel A., Emily R. Christison-Lagay, David F. Torchiana, Andrew L. Warshaw, and David L. Berger. "Gastrointestinal Complications in Patients Undergoing Heart Operation." Annals of Surgery 241, no. 6 (June 2005): 895–904. http://dx.doi.org/10.1097/01.sla.0000164173.05762.32.

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24

Heikkinen, Leo O., and Kari V. Ala-Kulju. "Abdominal complications following cardiopulmonary bypass in open-heart surgery." Scandinavian Journal of Thoracic and Cardiovascular Surgery 21, no. 1 (January 1987): 1–7. http://dx.doi.org/10.3109/14017438709116911.

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25

Johansson, Torsten, Claes Arén, Sven-Göran Fransson, and Poul Uhre. "Intra- and Postoperative Cerebral Complications of Open-Heart Surgery." Scandinavian Journal of Thoracic and Cardiovascular Surgery 29, no. 1 (January 1995): 17–22. http://dx.doi.org/10.3109/14017439509107196.

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26

Andrés, A. Sánchez, C. González Miño, E. Valdés Diéguez, L. Boni, and J. I. Carrasco Moreno. "Management of Specific Complications after Congenital Heart Surgery (I)." Open Journal of Pediatrics 05, no. 01 (2015): 56–66. http://dx.doi.org/10.4236/ojped.2015.51011.

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27

Fredericks, Suzanne, and Terrence Yau. "Educational Intervention Reduces Complications and Rehospitalizations After Heart Surgery." Western Journal of Nursing Research 35, no. 10 (May 29, 2013): 1251–65. http://dx.doi.org/10.1177/0193945913490081.

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28

Coppeto, J. R. "Major embolic complications of open heart surgery and DDA." Stroke 16, no. 5 (September 1985): 899. http://dx.doi.org/10.1161/str.16.5.899b.

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29

Golubovic, M., S. Nicin, Z. Jonjev, J. Rajic, Dj Jakovljevic, and N. Radovanovic. "Prevention of postoperative nonlethal complications after open heart surgery." European Journal of Cardiovascular Prevention & Rehabilitation 13, Supplement 1 (May 2006): S56. http://dx.doi.org/10.1097/00149831-200605001-00226.

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30

Kumar, Jogender. "Acute neurological complications after congenital structural heart disease surgery." Journal of Pediatric Neurosciences 13, no. 4 (2018): 519. http://dx.doi.org/10.4103/jpn.jpn_77_18.

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31

Demir, Ash, Bahar Aydmh, Çiğdem Yildirim Güçlü, Hija Yazicioğlu, Ahmet Saraç, Atilla H. Elham, and Özcan Erdemli. "Obesity and Postoperative Early Complications in Open Heart Surgery." Survey of Anesthesiology 57, no. 4 (August 2013): 165. http://dx.doi.org/10.1097/sa.0b013e31829b7fce.

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32

Demir, Aslı, Bahar Aydınlı, Çiğdem Yıldırım Güçlü, Hija Yazıcıoğlu, Ahmet Saraç, Atilla H. Elhan, and Özcan Erdemli. "Obesity and postoperative early complications in open heart surgery." Journal of Anesthesia 26, no. 5 (April 24, 2012): 702–10. http://dx.doi.org/10.1007/s00540-012-1393-7.

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33

Jain, Amit, Hamid Hassanzadeh, Varun Puvanesarajah, Eric O. Klineberg, Daniel M. Sciubba, Michael P. Kelly, D. Kojo Hamilton, et al. "Incidence of perioperative medical complications and mortality among elderly patients undergoing surgery for spinal deformity: analysis of 3519 patients." Journal of Neurosurgery: Spine 27, no. 5 (November 2017): 534–39. http://dx.doi.org/10.3171/2017.3.spine161011.

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OBJECTIVEUsing 2 complication-reporting methods, the authors investigated the incidence of major medical complications and mortality in elderly patients after surgery for adult spinal deformity (ASD) during a 2-year follow-up period.METHODSThe authors queried a multicenter, prospective, surgeon-maintained database (SMD) to identify patients 65 years or older who underwent surgical correction of ASD from 2008 through 2014 and had a minimum 2 years of follow-up (n = 153). They also queried a Centers for Medicare & Medicaid Services claims database (MCD) for patients 65 years or older who underwent fusion of 8 or more vertebral levels from 2005 through 2012 (n = 3366). They calculated cumulative rates of the following complications during the first 6 weeks after surgery: cerebrovascular accident, congestive heart failure, deep venous thrombosis, myocardial infarction, pneumonia, and pulmonary embolism. Significance was set at p < 0.05.RESULTSDuring the perioperative period, rates of major medical complications were 5.9% for pneumonia, 4.1% for deep venous thrombosis, 3.2% for pulmonary embolism, 2.1% for cerebrovascular accident, 1.8% for myocardial infarction, and 1.0% for congestive heart failure. Mortality rates were 0.9% at 6 weeks and 1.8% at 2 years. When comparing the SMD with the MCD, there were no significant differences in the perioperative rates of major medical complications except pneumonia. Furthermore, there were no significant intergroup differences in the mortality rates at 6 weeks or 2 years. The SMD provided greater detail with respect to deformity characteristics and surgical variables than the MCD.CONCLUSIONSThe incidence of most major medical complications in the elderly after surgery for ASD was similar between the SMD and the MCD and ranged from 1% for congestive heart failure to 5.9% for pneumonia. These complications data can be valuable for preoperative patient counseling and informed consent.

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34

Hasan, M. Nurul Akhtar, M. Sharifuzzaman, Abul Kalam Shamsuddin, Samir Kumar Biswas, Jesmin Hossain, and Mohammad Rahamat Ali Sheikh. "Post Operative Pulmonary Complications Following Surgery for Congenital Heart Disease." Journal of Bangladesh College of Physicians and Surgeons 35, no. 2 (July 29, 2017): 52–60. http://dx.doi.org/10.3329/jbcps.v35i2.33364.

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Objective: To identify the incidence and related factors for pulmonary complications and its impact on outcome in patients subjected to surgery for congenital heart disease (CHD).Methods: The sample comprised 141 patients of both genders, subjected to surgery for CHD, during 3 months period from 1st July 2014 to 30th September 2014. The data were obtained from newly improvised Congenital Heart Surgery Database.Results: Twenty eight (20%) patients developed some form of pulmonary complications. Age, weight, length and body surface area are significantly low among them (p <0.05). They also have higher Aristotle score & RACHS score, higher CPB time and aortic cross clamp time (p <0.01). Patients who had pulmonary complications had significantly higher (p <0.01) vasoactive inotrope score, prolonged mechanical ventilation, longer post operative ICU stay and post operative hospital stay. There was no mortality.Conclusions: Pulmonary complications are common after surgery for CHD which is more common in small children and complex surgeries. It significantly affects outcome including duration of mechanical ventilation and length of stay but no effect in mortality.J Bangladesh Coll Phys Surg 2017; 35(2): 52-60

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35

Welke, Karl F., Joseph A. Dearani, Nancy S. Ghanayem, Marie J. Beland, Irving Shen, and Tjark Ebels. "Renal complications associated with the treatment of patients with congenital cardiac disease: consensus definitions from the Multi-Societal Database Committee for Pediatric and Congenital Heart Disease." Cardiology in the Young 18, S2 (December 2008): 222–25. http://dx.doi.org/10.1017/s1047951108002953.

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AbstractA complication is an event or occurrence that is associated with a disease or a healthcare intervention, is a departure from the desired course of events, and may cause, or be associated with, suboptimal outcome. A complication does not necessarily represent a breech in the standard of care that constitutes medical negligence or medical malpractice. An operative or procedural complication is any complication, regardless of cause, occurring (1) within 30 days after surgery or intervention in or out of the hospital, or (2) after 30 days during the same hospitalization subsequent to the operation or intervention. Operative and procedural complications include both intraoperative/intraprocedural complications and postoperative/postprocedural complications in this time interval.The MultiSocietal Database Committee for Pediatric and Congenital Heart Disease has set forth a comprehensive list of complications associated with the treatment of patients with congenital cardiac disease, related to cardiac, pulmonary, renal, haematological, infectious, neurological, gastrointestinal, and endocrinal systems, as well as those related to the management of anaesthesia and perfusion, and the transplantation of thoracic organs. The objective of this manuscript is to examine the definitions of operative morbidity as they relate specifically to the renal system. These specific definitions and terms will be used to track morbidity associated with surgical and transcatheter interventions and other forms of therapy in a common language across many separate databases.Although renal dysfunction and renal failure are known risks of congenital heart surgery, accurate estimates of the incidences of these complications are limited. This lack of knowledge is in part due to the lack of uniform definitions of these postoperative complications. The purpose of this effort is to propose consensus definitions for renal complications following congenital cardiac surgery so that collection of such data can be standardized. Clinicians caring for patients with congenital heart disease will be able to use this list for databases, quality improvement initiatives, reporting of complications, and comparing strategies for treatment.

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36

Zhang, Guowei, Naishi Wu, Hongyu Liu, Hang Lv, Zhifa Yao, and Junquan Li. "Case control study of gastrointestinal complications after cardiopulmonary bypass heart surgery." Perfusion 24, no. 3 (May 2009): 173–78. http://dx.doi.org/10.1177/0267659109346665.

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Background: Gastrointestinal complications (GIC) after cardiopulmonary bypass (CPB) surgery are rare, but, nevertheless, extremely dangerous.The identification of risks for GIC may be helpful in planning appropriate perioperative management strategies. The aim of the present study was to analyze perioperative factors of GIC in patients undergoing CPB surgery. Methods: We retrospectively analysed 206 patients who underwent GIC after cardiopulmonary bypass surgery from 2000 to 2007 and compared them with 206 matched control patients (matched for surgery, temperature, hemodilution and date). Univariate analysis and multiple logistic regression analysis were performed on 12 risk factors. Result: Sex and types of cardioplegia perfusate did not significantly influence the GIC after CPB surgery. Multiple logistic regression revealed that CPB time, preoperative serum creatinine (PSC) ≥ 179 mg/dL, emergency surgery, perfusion pressure ≤40mmHg, low cardiac output syndrome (LCOS), age ≥ 61, mechanical ventilation ≥96 h, New York Heart Association (NYHA) class III and IV were predictors of the occurrence of GIC after CPB surgery. Perfusion pressure and aprotinin administration were protective factors. Conclusion: Gastrointestinal complications after CPB surgery could be predictive in the presence of the above risk factors. This study suggests that GIC can be reduced by maintenance of higher perfusion pressure and shortening the time on CPB and ventilation.

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37

Dimitrov, Konstantin, Hristo Stoev, and Gencho Nachev. "GASTRO-INTESTINAL COMPLICATIONS POST OPEN HEART SURGERY-NONOCCLUSIVE MESENTERIC ISCHEMIA." Journal of IMAB - Annual Proceeding (Scientific Papers) 26, no. 2 (June 9, 2020): 3183–86. http://dx.doi.org/10.5272/jimab.2020262.3183.

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38

AYHAN, A., I. BILDIRICI, Z. S. TUNCER, and M. DEMIRCIN. "Complications of Gynecologic Surgery in Patients with Prosthetic Heart Valves." Journal of Gynecologic Surgery 15, no. 2 (January 1999): 81–85. http://dx.doi.org/10.1089/gyn.1999.15.81.

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39

Nafakhi, Hussein, Liwaa H. Mahdi, Alaa M. Albasri, Alaa S. Jumaa, and Hussein R. Hussein. "Relationship of thymic changes and complications after congenital heart surgery." Asian Cardiovascular and Thoracic Annals 23, no. 9 (September 18, 2015): 1029–33. http://dx.doi.org/10.1177/0218492315605745.

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40

NIDO, PEDRO DEL, and BERNARD S. GOLDMAN. "Temporary Epicardial Pacing after Open Heart Surgery: Complications and Prevention." Journal of Cardiac Surgery 4, no. 1 (March 1989): 99–103. http://dx.doi.org/10.1111/j.1540-8191.1989.tb00262.x.

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41

Boethig, D. "Scoring complications after congenital heart surgery: gut feelings versus calculations." European Journal of Cardio-Thoracic Surgery 41, no. 4 (December 21, 2011): 904–5. http://dx.doi.org/10.1093/ejcts/ezr167.

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42

Tagarakis, G. I., D. Karangelis, F. Tsolaki, and N. B. Tsilimingas. "Embolism as major cause of neurocognitive complications after heart surgery." Interactive CardioVascular and Thoracic Surgery 12, no. 3 (February 23, 2011): 383. http://dx.doi.org/10.1510/icvts.2010.248872a.

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43

Fallon, P., J. M. Aparicio, M. J. Elliott, and F. J. Kirkham. "Incidence of neurological complications of surgery for congenital heart disease." Archives of Disease in Childhood 72, no. 5 (May 1, 1995): 418–22. http://dx.doi.org/10.1136/adc.72.5.418.

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44

Gavazzi, Armando, Francesca de Rino, Maria Claudia Boveri, Anna Picozzi, and Massimo Franceschi. "Prevalence of peripheral nervous system complications after major heart surgery." Neurological Sciences 37, no. 2 (October 6, 2015): 205–9. http://dx.doi.org/10.1007/s10072-015-2390-z.

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45

Miller, Geoffrey. "Postoperative Neurologic Complications After Open Heart Surgery on Young Infants." Archives of Pediatrics & Adolescent Medicine 149, no. 7 (July 1, 1995): 764. http://dx.doi.org/10.1001/archpedi.1995.02170200054008.

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46

Fakeih, Elaf, Mohammed Basnawi, Waleed Alshardi, Shaher Albakheet, Marwan Mandura, Abdullah Alateeq, Mohammed Al Arbash, Saleh Algamdi, Mohammed Alzayer, and Hamza Owaidah. "Follow up and complications of knee replacement surgery." International Journal Of Community Medicine And Public Health 5, no. 11 (October 25, 2018): 4983. http://dx.doi.org/10.18203/2394-6040.ijcmph20184602.

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Total knee surgical replacement is considered to be an extremely cost-effective surgery in the field of orthopedics. It is estimated that over four million patients in the United States have undergone a total knee replacement, and more than half a million patients undergo this operation annually. In this review, we will discuss the risks of possible complications, methods for their prevention, and ideal follow up for patients who underwent total knee replacement surgery. We did a systematic search for prostatitis using PubMed search engine (http://www.ncbi.nlm.nih.gov/) and Google Scholar search engine (https://scholar.google.com). The terms used in the search were: total knee replacement, knee arthroplasty, complications, management and follow up. Despite having an overall favorable safety profile, total knee replacement therapy can have associated morbidities. Overall mortality following a total knee replacement therapy is extremely low and is about 0.08%. Possible complications include cardiovascular events like arrhythmias, heart failure, myocardial infarction, deep venous thrombosis, pulmonary embolisms, and fat embolisms. Other more common complications are prosthetic infection, which is the most common early complication, and aseptic loosening, which are the most common late complications.

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Tibekina, L. M., E. G. Smertina, V. D. Zolotov, A. O. Zaitseva, A. P. Kretsu, M. S. Stolyarov, M. S. Kamenskikh, M. V. Starosotskaya, and D. V. Shmatov. "Risk factors of cerebral complications after cardiac surgery." Grekov's Bulletin of Surgery 176, no. 3 (June 28, 2017): 61–66. http://dx.doi.org/10.24884/0042-4625-2017-176-3-61-66.

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OBJECTIVE. The authors defined the risk factors of cerebral complications after cadiosurgical operations. MATERIAL AND METHODS. The patients with ischemic heart disease who underwent coronary artery bypass grafting (CABG) were included in the first group (n=189) 132 (69,8 %) men and 57 (30,2 %) women aged 62,5 ± 8,3 years old. The patients who underwent reconstructive surgery of the heart valves were in the second group (n=50) and numbered 34 (68 %) men and 16 (32 %) women aged 63,1 ± 7,7 years old. The operations on valves were performed under conditions of extracorporeal circulation in the Center of Cardiosurgery and Interventional Cardiology of St. Petersburg Multidisciplinary Center. RESULTS. The research showed that the proportion of severe cerebral complications such as acute stroke and delirium was equal to 7,4 % in patients with coronary artery bypass grafting, while in group of patients with valvular pathology it numbered 14,0 %. The proportion of patients with delirium was 5,8 % in the first group and it consisted of 12 % in the second group. The number of patients with stroke was 1,58 % in the first group and it counted 2,0 % in the second group. Chronic cerebrovascular failure, stroke in the anamnesis, fibrillations of auricles and post-infarction cardiosclerosis were the leading risk factors of acute stroke development in early postoperative period. CONCLUSIONS. There was noted that such risk factors as postinfarction cardiosclerosis, stroke in the anamnesis and also the constrictive atherosclerosis of brachiocephalic trunk were associated with the group of patients who had cerebral complications after CABG operation. The proportion of patients with fibrillations of auricles (paroxysmal form) and a low left ventricular ejection fraction was higher in group of patients who underwent reconstructive surgery of the heart valves. The frequency of tobacco smoking was high among patients in both subgroups (77 % and 57,1 %).

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DÍaz, B., F. González Vilchez, L. Almenar, J. F. Delgado, N. Manito, M. J. Paniagua, M. G. Crespo, et al. "Gastrointestinal Complications in Heart Transplant Patients: MITOS Study." Transplantation Proceedings 39, no. 7 (September 2007): 2397–400. http://dx.doi.org/10.1016/j.transproceed.2007.07.061.

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Jeffries, Howard, Geoff Bird, Yuk Law, Gil Wernovsky, Paul Weinberg, Christian Pizarro, and Giovanni Stellin. "Complications related to the transplantation of thoracic organs: consensus definitions from the Multi-Societal Database Committee for Pediatric and Congenital Heart Disease." Cardiology in the Young 18, S2 (December 2008): 265–70. http://dx.doi.org/10.1017/s1047951108003004.

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AbstractA complication is an event or occurrence associated with a disease or a healthcare intervention, which constitutes a departure from the desired course of events, and may cause, or be associated with, suboptimal outcome. A complication does not necessarily represent a breech in the standard of care that constitutes medical negligence or medical malpractice. An operative or procedural complication is any complication, regardless of cause, occurring (1) within 30 days after an intervention in or out of the hospital, or (2) after 30 days during the same hospitalization subsequent to the operation or intervention. Operative and procedural complications include both intraoperative/intraprocedural complications and postoperative/postprocedural complications in this time interval.The Multi-Societal Database Committee for Pediatric and Congenital Heart Disease has set forth a comprehensive list of complications associated with the treatment of patients with congenital cardiac disease, related to cardiac, pulmonary, renal, haematological, infectious, neurological, gastrointestinal, and endocrinal systems, as well as those related to the management of anaesthesia and perfusion, and the transplantation of thoracic organs. The objective of this manuscript is to examine the definitions of operative morbidity as they relate specifically to patients who have received transplantation of the heart, heart and lung(s) or lung(s). These specific definitions and terms will be used to track morbidity associated with transplantation in a common language across many separate databases.The complications of transplantation are known risks of congenital cardiac surgery. The purpose of this effort is to propose consensus definitions for post-transplant complications following cardiac surgery so that collection of such data can be standardized. Clinicians caring for patients who have had transplantation of thoracic organs will be able to use this list for databases, quality improvement initiatives, reporting of complications, and comparing treatment strategies.

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Vimala, Smita, Mathangi Krishnakumar, Amit Goyal, Kamath Sriganesh, and G. S. Umamaheswara Rao. "Perioperative Complications and Clinical Outcomes in Patients with Congenital Cyanotic Heart Disease Undergoing Surgery for Brain Abscess." Journal of Neurosciences in Rural Practice 11, no. 03 (May 11, 2020): 375–80. http://dx.doi.org/10.1055/s-0040-1709260.

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Abstract Background Brain abscess is a rare neurological complication in patients with congenital cyanotic heart disease (CCHD). Perioperative complications are high in patients with CCHD. We evaluated incidence of and risk factors for perioperative complications and their impact on clinical outcomes in patients with CCHD undergoing brain abscess surgery with monitored anesthesia care (MAC) or general anesthesia (GA). Methods In this single-center retrospective cohort study, data were collected from consecutive patients with CCHD who presented with brain abscess and underwent surgery from January 2006 to December 2018. Data regarding demographics, type of CCHD, signs and symptoms of brain abscess and CCHD, type and duration of surgery, details of anesthesia, perioperative complications, and clinical outcomes were collected. Chi-square test was used to analyze nonparametric data and student t-test for parametric data. Results Of the 402 patients with brain abscess, data of 34 patients with CCHD who underwent brain abscess surgery were analyzed. The mean age at presentation of brain abscess was 15.8 ± 10.8 years and duration of symptoms was 17.3 ± 15.5 days. The incidence of perioperative complications was 82.4% (28/34 patients). Seven patients (20.6%) developed perioperative cyanotic spells which led to cardiac arrest in 5 patients (14.7%) and death in 2 patients (5.9%). Patients on cardiac medications and with high heart rate had higher incidence of cyanotic spells and mortality. Technique of anesthesia did not affect cardiac and neurological outcome. Conclusions Perioperative complications are high after brain abscess surgery in patients with CCHD. Perioperative characteristics and outcomes were similar with MAC and GA techniques.

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