Aortic stenosis surgery complications: Difference between revisions
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====Possible Risks from having Open-Heart Surgery==== | ====Possible Risks from having Open-Heart Surgery==== | ||
There are many possible complications after an Open Heart Surgery. The postoperative risk factors can be related to various factors including albumin, TLC and BMI.<ref name="pmid27982346">{{cite journal| author=Gonçalves LB, Jesus NM, Gonçalves MB, Dias LC, Deiró TC| title=Preoperative Nutritional Status and Clinical Complications in the Postoperative Period of Cardiac Surgeries. | journal=Braz J Cardiovasc Surg | year= 2016 | volume= 31 | issue= 5 | pages= 371-380 | pmid=27982346 | doi=10.5935/1678-9741.20160077 | pmc=5144568 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=27982346 }} </ref> Some possible complications after a cardiac surgery are:<ref name="pmid20802907">{{cite journal| author=Laizo A, Delgado FE, Rocha GM| title=Complications that increase the time of Hospitalization at ICU of patients submitted to cardiac surgery. | journal=Rev Bras Cir Cardiovasc | year= 2010 | volume= 25 | issue= 2 | pages= 166-71 | pmid=20802907 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20802907 }} </ref><ref name="pmid17992325">{{cite journal| author=Taniguchi FP, Souza AR, Martins AS| title=Cardiopulmonary bypass time as a risk factor for acute renal failure. | journal=Rev Bras Cir Cardiovasc | year= 2007 | volume= 22 | issue= 2 | pages= 201-5 | pmid=17992325 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17992325 }} </ref><ref name="pmid20053534">{{cite journal| author=Jakob SM, Stanga Z| title=Perioperative metabolic changes in patients undergoing cardiac surgery. | journal=Nutrition | year= 2010 | volume= 26 | issue= 4 | pages= 349-53 | pmid=20053534 | doi=10.1016/j.nut.2009.07.014 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20053534 }} </ref> | There are many possible complications after an Open Heart Surgery. The postoperative risk factors can be related to various factors including albumin, TLC and BMI.<ref name="pmid27982346">{{cite journal| author=Gonçalves LB, Jesus NM, Gonçalves MB, Dias LC, Deiró TC| title=Preoperative Nutritional Status and Clinical Complications in the Postoperative Period of Cardiac Surgeries. | journal=Braz J Cardiovasc Surg | year= 2016 | volume= 31 | issue= 5 | pages= 371-380 | pmid=27982346 | doi=10.5935/1678-9741.20160077 | pmc=5144568 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=27982346 }} </ref> Some possible complications after a cardiac surgery are:<ref name="pmid20802907">{{cite journal| author=Laizo A, Delgado FE, Rocha GM| title=Complications that increase the time of Hospitalization at ICU of patients submitted to cardiac surgery. | journal=Rev Bras Cir Cardiovasc | year= 2010 | volume= 25 | issue= 2 | pages= 166-71 | pmid=20802907 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20802907 }} </ref><ref name="pmid17992325">{{cite journal| author=Taniguchi FP, Souza AR, Martins AS| title=Cardiopulmonary bypass time as a risk factor for acute renal failure. | journal=Rev Bras Cir Cardiovasc | year= 2007 | volume= 22 | issue= 2 | pages= 201-5 | pmid=17992325 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17992325 }} </ref><ref name="pmid20053534">{{cite journal| author=Jakob SM, Stanga Z| title=Perioperative metabolic changes in patients undergoing cardiac surgery. | journal=Nutrition | year= 2010 | volume= 26 | issue= 4 | pages= 349-53 | pmid=20053534 | doi=10.1016/j.nut.2009.07.014 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20053534 }} </ref><ref name="pmid8222841">{{cite journal| author=Cheng DC, Asokumar B, Nakagawa T| title=Amrinone therapy for severe pulmonary hypertension and biventricular failure after complicated valvular heart surgery. | journal=Chest | year= 1993 | volume= 104 | issue= 5 | pages= 1618-20 | pmid=8222841 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8222841 }} </ref> | ||
*[[Heart attack]] or stroke | *[[Heart attack]] or stroke | ||
Revision as of 20:43, 20 December 2016
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Aortic stenosis surgery | |
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Aortic stenosis surgery complications On the Web | |
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American Roentgen Ray Society Images of Aortic stenosis surgery complications | |
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Risk calculators and risk factors for Aortic stenosis surgery complications | |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor-In-Chief: Mohammed A. Sbeih, M.D. [2]
Complications
Risks of any Surgery
Surgeries are usually associated with various complications ranging from mild to severe in nature. [1][2][3][4]
- 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
- Nausea and vomiting
- Abnormal or painful scar formation
- Allergic skin reaction
Possible Risks from having Open-Heart Surgery
There are many possible complications after an Open Heart Surgery. The postoperative risk factors can be related to various factors including albumin, TLC and BMI.[5] Some possible complications after a cardiac surgery are:[6][7][8][9]
- Heart attack or stroke
- Heart rhythm problems; such as atrial fibrillation
- 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.
- Acute Renal Failure
- Metabolic complications like hyperglycaemia, hypokalemia and increased free fatty acid concentration.
Prosthetic Heart Valves are Associated with a Variety of Complications
The complications associated with a Prosthetic heart valve placement include:[10][11][12][9]
- Structural deterioration, particularly with bioprosthetic valves
- Valve obstruction due to thrombosis or pannus formation
- Systemic embolization
- Atrial Fibrillation
- Thrombocytopenia or Bleeding
- Endocarditis and other infections
- Left ventricular systolic dysfunction, which may be preexisting (Heart failure)
- Hemolytic anemia
References
- ↑ Escobar MA, Caty MG (2016). "Complications in neonatal surgery". Semin Pediatr Surg. 25 (6): 347–370. doi:10.1053/j.sempedsurg.2016.10.005. PMID 27989360.
- ↑ Bechtel P, Boorse R, Rovito P, Harrison TD, Hong J (2013). "Warfarin users prone to coagulopathy in first 30 days after hospital discharge from gastric bypass". Obes Surg. 23 (10): 1515–9. doi:10.1007/s11695-013-0972-5. PMID 23645479.
- ↑ Kumar AS, Alaparthi GK, Augustine AJ, Pazhyaottayil ZC, Ramakrishna A, Krishnakumar SK (2016). "Comparison of Flow and Volume Incentive Spirometry on Pulmonary Function and Exercise Tolerance in Open Abdominal Surgery: A Randomized Clinical Trial". J Clin Diagn Res. 10 (1): KC01–6. doi:10.7860/JCDR/2016/16164.7064. PMC 4740618. PMID 26894090.
- ↑ Kelkar KV (2015). "Post-operative pulmonary complications after non-cardiothoracic surgery". Indian J Anaesth. 59 (9): 599–605. doi:10.4103/0019-5049.165857. PMC 4613407. PMID 26556919.
- ↑ Gonçalves LB, Jesus NM, Gonçalves MB, Dias LC, Deiró TC (2016). "Preoperative Nutritional Status and Clinical Complications in the Postoperative Period of Cardiac Surgeries". Braz J Cardiovasc Surg. 31 (5): 371–380. doi:10.5935/1678-9741.20160077. PMC 5144568. PMID 27982346.
- ↑ Laizo A, Delgado FE, Rocha GM (2010). "Complications that increase the time of Hospitalization at ICU of patients submitted to cardiac surgery". Rev Bras Cir Cardiovasc. 25 (2): 166–71. PMID 20802907.
- ↑ Taniguchi FP, Souza AR, Martins AS (2007). "Cardiopulmonary bypass time as a risk factor for acute renal failure". Rev Bras Cir Cardiovasc. 22 (2): 201–5. PMID 17992325.
- ↑ Jakob SM, Stanga Z (2010). "Perioperative metabolic changes in patients undergoing cardiac surgery". Nutrition. 26 (4): 349–53. doi:10.1016/j.nut.2009.07.014. PMID 20053534.
- ↑ 9.0 9.1 Cheng DC, Asokumar B, Nakagawa T (1993). "Amrinone therapy for severe pulmonary hypertension and biventricular failure after complicated valvular heart surgery". Chest. 104 (5): 1618–20. PMID 8222841.
- ↑ Sánchez E, Corrales JA, Fantidis P, Tarhini IS, Khan I, Pineda T; et al. (2016). "Thrombocytopenia after Aortic Valve Replacement with Perceval S Sutureless Bioprosthesis". J Heart Valve Dis. 25 (1): 75–81. PMID 27989089.
- ↑ Lunardi M, Pesarini G, Zivelonghi C, Piccoli A, Geremia G, Ariotti S; et al. (2016). "Clinical outcomes of transcatheter aortic valve implantation: from learning curve to proficiency". Open Heart. 3 (2): e000420. doi:10.1136/openhrt-2016-000420. PMC 5013502. PMID 27621826.
- ↑ Zhao Y, Cui GM, Zhou NN, Li C, Zhang Q, Sun H; et al. (2016). "Calpain-Calcineurin-Nuclear Factor Signaling and the Development of Atrial Fibrillation in Patients with Valvular Heart Disease and Diabetes". J Diabetes Res. 2016: 4639654. doi:10.1155/2016/4639654. PMC 4830711. PMID 27123462.