Mitral regurgitation surgery complications: Difference between revisions
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==Overview== | ==Overview== | ||
Common complications of mitral regurgitation surgery blood loss, systemic embolization, structural deterioration, left ventricular systolic dysfunction, [[endocarditis]] and other infections. | Common [[complications]] of mitral regurgitation surgery blood loss, [[systemic embolization]], structural deterioration, [[left ventricular systolic dysfunction]], [[endocarditis]] and other [[infections]]. | ||
==Complications== | ==Complications== | ||
*Common complications of mitral regurgitation surgery including:<ref name="pmid9323067">{{cite journal |vauthors=Ling LH, Enriquez-Sarano M, Seward JB, Orszulak TA, Schaff HV, Bailey KR, Tajik AJ, Frye RL |title=Early surgery in patients with mitral regurgitation due to flail leaflets: a long-term outcome study |journal=Circulation |volume=96 |issue=6 |pages=1819–25 |date=September 1997 |pmid=9323067 |doi=10.1161/01.cir.96.6.1819 |url=}}</ref><ref name="pmid9918527">{{cite journal |vauthors=Tribouilloy CM, Enriquez-Sarano M, Schaff HV, Orszulak TA, Bailey KR, Tajik AJ, Frye RL |title=Impact of preoperative symptoms on survival after surgical correction of organic mitral regurgitation: rationale for optimizing surgical indications |journal=Circulation |volume=99 |issue=3 |pages=400–5 |date=January 1999 |pmid=9918527 |doi=10.1161/01.cir.99.3.400 |url=}}</ref><ref name="pmid7850937">{{cite journal |vauthors=Enriquez-Sarano M, Schaff HV, Orszulak TA, Tajik AJ, Bailey KR, Frye RL |title=Valve repair improves the outcome of surgery for mitral regurgitation. A multivariate analysis |journal=Circulation |volume=91 |issue=4 |pages=1022–8 |date=February 1995 |pmid=7850937 |doi=10.1161/01.cir.91.4.1022 |url=}}</ref> | *Common complications of mitral regurgitation surgery including:<ref name="pmid9323067">{{cite journal |vauthors=Ling LH, Enriquez-Sarano M, Seward JB, Orszulak TA, Schaff HV, Bailey KR, Tajik AJ, Frye RL |title=Early surgery in patients with mitral regurgitation due to flail leaflets: a long-term outcome study |journal=Circulation |volume=96 |issue=6 |pages=1819–25 |date=September 1997 |pmid=9323067 |doi=10.1161/01.cir.96.6.1819 |url=}}</ref><ref name="pmid9918527">{{cite journal |vauthors=Tribouilloy CM, Enriquez-Sarano M, Schaff HV, Orszulak TA, Bailey KR, Tajik AJ, Frye RL |title=Impact of preoperative symptoms on survival after surgical correction of organic mitral regurgitation: rationale for optimizing surgical indications |journal=Circulation |volume=99 |issue=3 |pages=400–5 |date=January 1999 |pmid=9918527 |doi=10.1161/01.cir.99.3.400 |url=}}</ref><ref name="pmid7850937">{{cite journal |vauthors=Enriquez-Sarano M, Schaff HV, Orszulak TA, Tajik AJ, Bailey KR, Frye RL |title=Valve repair improves the outcome of surgery for mitral regurgitation. A multivariate analysis |journal=Circulation |volume=91 |issue=4 |pages=1022–8 |date=February 1995 |pmid=7850937 |doi=10.1161/01.cir.91.4.1022 |url=}}</ref> | ||
'''Risks for any surgery''' | '''Risks for any surgery''' | ||
:*Blood clots in the legs that may travel to the lungs | :*Blood clots in the legs that may travel to the lungs | ||
:*Blood loss | :*[[Blood loss]] | ||
:*Breathing problems | :*Breathing problems | ||
:*Infection, including in the lungs, kidneys, bladder, chest, or heart valves | :*Infection, including in the lungs, kidneys, bladder, chest, or heart valves | ||
| Line 21: | Line 22: | ||
'''Possible risks from having open-heart surgery''' | '''Possible risks from having open-heart surgery''' | ||
:*[[Heart attack]] or stroke | :*[[Heart attack]] or stroke | ||
:*Heart [[rhythm]] problems | :*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. | :*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." | :*[[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''' | '''Prosthetic heart valves are associated with a variety of complications''' | ||
:*Structural deterioration, particularly with bioprosthetic valves | |||
:*Structural deterioration, particularly with [[bioprosthetic valves]] | |||
:*Valve obstruction due to [[thrombosis]] or pannus formation | :*Valve obstruction due to [[thrombosis]] or pannus formation | ||
:*Systemic [[embolization]] | :*Systemic [[embolization]] | ||
:*Bleeding | :*[[Bleeding]] | ||
:*[[Endocarditis]] and other infections | :*[[Endocarditis]] and other infections | ||
:*Left ventricular systolic dysfunction, which may be preexisting. | :*Left ventricular systolic dysfunction, which may be preexisting. | ||
Latest revision as of 20:04, 30 January 2020
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Intern Survival Guide |
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Mitral regurgitation surgery | |
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Treatment | |
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Mitral regurgitation surgery complications On the Web | |
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American Roentgen Ray Society Images of Mitral regurgitation surgery complications | |
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Directions to Hospitals Performing Mitral regurgitation surgery | |
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Risk calculators and risk factors for Mitral regurgitation surgery complications | |
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.