Mitral regurgitation surgery complications
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Intern Survival Guide |
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Mitral regurgitation surgery | |
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Treatment | |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor-In-Chief: Mohammed A. Sbeih, M.D. [2]
Overview
Common complications of mitral regurgitation surgery blood loss, systemic embolization, structural deterioration, left ventricular systolic dysfunction, endocarditis and other infections.
Complications
Risks for any surgery
- Blood clots in the legs that may travel to the lungs
- Blood loss
- Breathing problems
- Infection, including in the lungs, kidneys, bladder, chest, or heart valves
- Reactions to medicines
Possible risks from having open-heart surgery
- Heart attack or stroke
- Heart rhythm problems
- Infection in the cut, which is more likely to happen in people who are obese, have diabetes, or have already had this surgery.
- Memory loss and loss of mental clarity, or "fuzzy thinking."
- Post-pericardiotomy syndrome, which is a low-grade fever and chest pain. This could last for up to 6 months.
Prosthetic heart valves are associated with a variety of complications
- Structural deterioration, particularly with bioprosthetic valves
- Valve obstruction due to thrombosis or pannus formation
- Systemic embolization
- Bleeding
- Endocarditis and other infections
- Left ventricular systolic dysfunction, which may be preexisting.
- Hemolytic anemia
References
- ↑ Ling LH, Enriquez-Sarano M, Seward JB, Orszulak TA, Schaff HV, Bailey KR, Tajik AJ, Frye RL (September 1997). "Early surgery in patients with mitral regurgitation due to flail leaflets: a long-term outcome study". Circulation. 96 (6): 1819–25. doi:10.1161/01.cir.96.6.1819. PMID 9323067.
- ↑ Tribouilloy CM, Enriquez-Sarano M, Schaff HV, Orszulak TA, Bailey KR, Tajik AJ, Frye RL (January 1999). "Impact of preoperative symptoms on survival after surgical correction of organic mitral regurgitation: rationale for optimizing surgical indications". Circulation. 99 (3): 400–5. doi:10.1161/01.cir.99.3.400. PMID 9918527.
- ↑ Enriquez-Sarano M, Schaff HV, Orszulak TA, Tajik AJ, Bailey KR, Frye RL (February 1995). "Valve repair improves the outcome of surgery for mitral regurgitation. A multivariate analysis". Circulation. 91 (4): 1022–8. doi:10.1161/01.cir.91.4.1022. PMID 7850937.