Journal of ISSN: 2373-4396JCCR

Cardiology & Current Research
Proceeding
Volume 7 Issue 3 - 2016
Re-Do Adult Cardiac Surgery Outcomes: Single Centre Experience Blackrock Clinic, Ireland
Suvarna S, A Cornea, M Hayes, D Clune, E Costigan, N Dunne, K Papa* and L Viola
Cardiothoracic Surgery, Blackrock Clinic, Ireland
Received: December 05, 2016 | Published: December 06, 2016
*Corresponding author: Papa Kristo, Cardiothoracic Surgery, Blackrock Clinic, Ireland, Email:
Citation: Suvarna S, Cornea A, Hayes M, Clune D, Costigan E, et al. (2016) Re-Do Adult Cardiac Surgery Outcomes: Single Centre Experience Blackrock Clinic, Ireland. J Cardiol Curr Res 7(3): 00250. DOI: 10.15406/jccr.2016.07.00250

Purpose

Redo adult cardiac surgeries are associated with an increased risk of postoperative morbidity and mortality. These cohorts of patients in the current era needing redo surgery are becoming more complex due to multiple comorbidities. The aim of our study was to analyse our experience concerning the immediate post-operative outcomes in this sub-group of redo patients.

Methods

Between January 2012 and June 2016 a total of 1,980 patients underwent cardiac surgery at Blackrock Clinic, 80 (4.04%) of whom had redo surgery. Data analysed included peri-operative, intra-operative and post-operative details.

Results

The mean age was 67.88(SD9.22) years; 57 (71%) were male, 23 (29%) were female. Eighty out off 1,980 patients underwent redo surgery [1,5]
CABG n= 10/80 12.5%, CABG + Other N= 3/80 3.75%. CABG + Valve: n= 8/80 10%, CABG + Valve + Other n = 5/80 6.25%, Valve n= 26/80 32.5%, Valve + Other n = 23/80 28.75%, Other n= 5/80 6.25%). The mean logistic EuroSCORE was15.61 (SD13.10), mean ITU length of stay 6.86 (SD12.60)
Reoperation for tamponade 10% (n=8/80)
Postoperative renal dialysis 11% (n=9/80)
Stroke 2% (n=2/80) both patients urgent.

In hospital survival at time of discharge 89% (n=71/80), Mortality: 11% (n=9/80) CABG: 11 %( n=4/35), VALVE: 9.67% (n=3/31), CABG +VALVE: 28.57%) n=2/7, OTHER: o%. Out of these deaths. Urgent: 56 %( n=5/9), Elective: 44 %( n=4/9)

Conclusion

Our single centre small volume analysis suggest that redo surgery do present an increased risk of morbidity and mortality than first-time surgery patients and this sub-group of patients can present new challenges especially when non-elective and multiple procedures are warranted.

References

  1. Eric E Roselli (2011) Reoperative Cardiac Surgery: Challenges and Outcomes Tex Heart Inst J 38(6): 669-671.
  2. Roselli EE, Pettersson GB, Blackstone EH, Brizzio ME, Houghtaling PL, et al. (2008) Adverse events during reoperative cardiac surgery: frequency, characterization, and rescue. J Thorac Cardiovasc Surg 135(2): 316-323.
  3. Imran Hamid U, Digney R, Soo L, Leung S, Graham AN (2015) Incidence and outcome of re-entry injury in redo cardiac surgery: benefits of preoperative planning. Eur J Cardiothorac Surg 47(5): 819-823.
  4. Launcelott S, Ouzounian M, Buth KJ, Légaré JF (2012) Predicting in-hospital mortality after redo cardiac operations: development of a preoperative scorecard. Ann Thorac Surg 94(3): 778-784.
  5. Odell JA, Mullany CJ, Schaff HV, Orszulak TA, Daly RC, et al. (1996) Aortic valve replacement after previous coronary artery bypass grafting. Ann Thorac Surg 62(5): 1424-1430.
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