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[Pleural empyema after closed mitral commissurotomy]
Abstract:
Risk factors, causes and results of the treatment of 63 patients with pleura empyema after closed commissurotomy were studied. The incidence of this complication was 0,77% per 8147 operations. Among the direct causes of empyemas there were infected blood (47,6%) and exudate (41,3%) in the pleural cavity of abscessing infarction-pneumonia (9,5%). Open drainage was found to be the most effective method of the treatment. 81% of the patients recovered. Lethality was 19%, mainly due to pyo-septic complications.
Insights
Pleura empyema, a complication after closed commissurotomy, occurred in 0.77% of patients. Open drainage proved most effective, with 81% recovery, though 19% mortality resulted from pyo-septic issues.
Area of Science:
- Cardiothoracic Surgery
- Pulmonary Medicine
- Infectious Diseases
Context:
- Post-surgical complications following cardiac procedures
- Incidence and etiology of pleural space infections
- Management strategies for empyema thoracis
Purpose:
- To investigate the risk factors, causes, and treatment outcomes of pleura empyema after closed commissurotomy.
- To determine the incidence of this specific post-operative complication.
- To evaluate the effectiveness of open drainage as a treatment modality.
Summary:
- A study of 63 patients revealed pleura empyema occurred in 0.77% of 8147 closed commissurotomy operations.
- Primary causes included infected blood (47.6%) and pleural exudate (41.3%), with abscessing infarction-pneumonia as a less frequent cause (9.5%).
- Open drainage was the most effective treatment, achieving an 81% recovery rate, while mortality (19%) was primarily linked to pyo-septic complications.
Impact:
- Highlights the incidence and primary etiological factors of pleura empyema post-closed commissurotomy.
- Establishes open drainage as a successful treatment method for this complication.
- Provides critical data on patient outcomes, informing clinical management and risk assessment.