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Related Experiment Videos

Emergency open-heart surgery. Experience with 100 consecutive cases

F C Wells, D K Cooper, B B Milstein

    Scandinavian Journal of Thoracic and Cardiovascular Surgery
    |January 1, 1982
    PubMed
    Summary

    Emergency open-heart surgery carries a significantly higher early mortality rate (24%) compared to elective procedures. Prompt surgical intervention for critical valve disease may reduce these risks.

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    Area of Science:

    • Cardiovascular Surgery
    • Thoracic Surgery
    • Cardiac Surgery

    Background:

    • Open-heart surgery is a complex procedure with associated risks.
    • Emergency open-heart surgery presents unique challenges and higher mortality rates.
    • Understanding risk factors is crucial for improving outcomes in urgent cardiac procedures.

    Purpose of the Study:

    • To analyze the outcomes of emergency open-heart surgery.
    • To identify the primary clinical conditions leading to emergency cardiac operations.
    • To determine the factors contributing to the increased mortality in emergency cardiac surgery.

    Main Methods:

    • Retrospective analysis of 1,203 open-heart operations performed between January 1973 and December 1978.
    • Categorization of patients into elective and emergency surgical groups.

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  • Detailed examination of clinical conditions, interventions, and early (30-day) mortality rates.

    • Main Results:

    • Overall early operative mortality was 5.3% for all open-heart surgeries.
    • Emergency open-heart surgery had a significantly higher early mortality of 24%.
    • Leading causes for emergency surgery included ischemic heart disease, critical valve disease, bacterial endocarditis, acute aortic dissection, and valve substitute complications.

    Conclusions:

    • Emergency open-heart surgery is associated with a substantially elevated risk of early death.
    • Low cardiac output and left ventricular dysfunction are key factors in emergency surgery mortality.
    • Earlier referral for critical valve disease could potentially decrease emergency surgery mortality rates.