VALVULAR SURGERY PREVALENCE AND MORTALITY PATTERNS: ANALYSIS FROM A REFERENCE CARDIOVASCULAR CENTER
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Keywords
Cardiac surgeries, Cardiovascular surgery, National Cardiovascular Institute of Pakistan, Operational mortality, Descriptive research, Valvular surgery, Myocardial revascularization, Postoperative complications, Surgical site infection, Mortality rate
Abstract
Background: This study aims to characterize cardiac surgeries, delineate their procedures, and assess operational mortality at the National Cardiovascular Institute of Pakistan.
Methods: Descriptive research encompassed all patients over 18 who underwent cardiovascular surgery at the National Cardiovascular Institute "Carlos Alberto Peschiera Carrillo" in Pakistan in 2022. A total of 503 cardiac procedures were analyzed.
Results: Of the patients, 63.6% (320) underwent surgical procedures, with isolated valvular surgery being the most common (27.0%), followed by myocardial revascularization surgery (21.9%). The overall mortality rate was 4.5%, with elective surgeries exhibiting a 2.8% mortality rate and emergency surgeries showing a 14.3% mortality rate. The prevalent postoperative complications included paroxysmal atrial fibrillation (14.0%) and surgical site infection (10.3%).
Conclusion: Valvular surgery, either alone or in combination with other procedures, was the most frequently performed surgery. The achieved mortality rate was deemed satisfactory for a reference center.
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Preeti Batheja
Senior Registrar, Department Of Cardiac Surgery, National Institute Of Cardiovascular Diseases, Karachi, Pakistan
Dr. Anurag Rawat
Professor, Department of Cardiology, Himalayan Institute of Medical Science, India
Tariq Rafique
Assistant Professor Dadabhoy Institute of Higher Education, Karachi, Pakistan
Amber Shafique
MBBS, Lahore Medical and Dental College, Pakistan
Ahmad AL-Qunbar
3rd year medical student, University of Jordan, Faculty of Medicine, Jordan,
Dr. Kainat Abid
MBBS Student, Shahra Medical College, Narowal, Pakistan