Different characteristics of postoperative heart failure after surgery for aortic stenosis and coronary disease

Scandinavian Cardiovascular Journal : SCJ
Farkas B VánkyRolf Svedjeholm

Abstract

Postoperative heart failure (PHF) remains a major determinant of outcome after cardiac surgery. However, possible differences in characteristics of PHF after valve surgery and coronary surgery (CABG) have received little attention. Therefore, this issue was studied in patients undergoing aortic valve replacement (AVR) and CABG, respectively. Three hundred and ninety-eight patients undergoing isolated AVR for aortic stenosis were compared with 398 patients, matched for age and sex, undergoing on-pump isolated CABG. Forty-five AVR and 47 CABG patients required treatment for PHF and these were studied in detail. The AVR group had longer aortic cross-clamp time and higher rate of isolated right ventricular heart failure postoperatively. Myocardial ischemia during induction and perioperative myocardial infarction were more common in the CABG group. One-year mortality was 8.9% in the AVR group vs 25.5% in the CABG group (p = 0.05). The incidence of PHF was similar in both groups but different characteristics were found. Isolated right ventricular failure and PHF precipitated by septicemia were more common in AVR patients. PHF was more clearly associated with myocardial ischemia and infarction in CABG patients, which could explain the...Continue Reading

Associated Clinical Trials

References

Jul 11, 1992·The Annals of Thoracic Surgery·L L CreswellC B Huddleston
May 1, 1990·Journal of the American College of Cardiology·W M BreisblattR L Hardesty
May 1, 1995·The Annals of Thoracic Surgery·V ParameshF C Chang
Jun 1, 1995·The Journal of Thoracic and Cardiovascular Surgery·B S AllenS Feinstein
Nov 2, 2001·The Journal of Thoracic and Cardiovascular Surgery·R H MehtaG M Deeb
May 23, 2002·Scandinavian Cardiovascular Journal : SCJ·L G DahlinR Svedjeholm

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Citations

Feb 10, 2010·Scandinavian Cardiovascular Journal : SCJ·Rolf SvedjeholmErik Håkanson
Jun 23, 2012·The Journal of Thoracic and Cardiovascular Surgery·Mårten VidlundRolf Svedjeholm
Mar 28, 2006·The Annals of Thoracic Surgery·Farkas B VánkyRolf Svedjeholm
Jun 2, 2016·Scandinavian Cardiovascular Journal : SCJ·Gabriella BoanoFarkas Vánky
Jan 10, 2019·Journal of Cardiac Surgery·Roberto LorussoSamuel Heuts

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