Emergency reoperation after open heart surgery: ten years of experience

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dc.authoridSunar, Hasan/0000-0002-1276-8549
dc.authoridYuksel, Volkan/0000-0001-9518-2588
dc.authorwosidSunar, Hasan/A-8685-2018
dc.contributor.authorYuksel, Volkan
dc.contributor.authorHuseyin, Serhat
dc.contributor.authorCanbaz, Suat
dc.contributor.authorEge, Turan
dc.contributor.authorSunar, Hasan
dc.date.accessioned2024-06-12T10:55:44Z
dc.date.available2024-06-12T10:55:44Z
dc.date.issued2013
dc.departmentTrakya Üniversitesien_US
dc.description.abstractBackground: Postoperative bleeding is an important corn plication after open heart surgery. Resternotomy for bleeding is an important source of mortality and morbidity. Aim of the study: We aimed to identify the common sites of bleeding after open heart surgery and to present our results. Material and methods: We performed 2286 open heart operations from January 2003 to January 2013. Reoperation for bleeding was performed in the case of bleeding that exceeded 3 ml/kg/h in the first 3 hours, continued bleeding of more than 200 ml/h that did not cease, and in the event of clinical signs of tamponade. All patients were reoperated in the operating theatre. Patient data and bleeding sites were recorded. Results: 98 patients (4.3%) underwent reoperation for bleeding or tamponade. Non-surgical causes of bleeding were found in 44 patients (44.9%). The major sites of bleeding were the left side branch of the internal thoracic artery (17.4%) and the side branch of the saphenous vein graft (13.3%). Mortality occurred in 13 patients (13.3%). Conclusions: Emergency reoperation for bleeding or tamponade after open heart surgery is an important problem. A high percentage of reoperated cases were due to technical errors during graft harvesting. We cannot always avoid the hematologic factors causing bleeding, but we can reduce the number of correctable causes that are usually surgeon-related. This should also contribute to reducing mortality and morbidity after open heart surgery.en_US
dc.identifier.doi10.5114/kitp.2013.38090
dc.identifier.endpage198en_US
dc.identifier.issn1731-5530
dc.identifier.issue3en_US
dc.identifier.scopus2-s2.0-84886445320en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage195en_US
dc.identifier.urihttps://doi.org/10.5114/kitp.2013.38090
dc.identifier.urihttps://hdl.handle.net/20.500.14551/19532
dc.identifier.volume10en_US
dc.identifier.wosWOS:000326004300001en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherTermedia Publishing House Ltden_US
dc.relation.ispartofKardiochirurgia I Torakochirurgia Polskaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectCardiac Surgeryen_US
dc.subjectPostoperative Bleedingen_US
dc.subjectCardiac Tamponadeen_US
dc.subjectArtery-Bypass Surgeryen_US
dc.subjectRisk-Factorsen_US
dc.subjectCardiac Operationen_US
dc.subjectRe-Explorationen_US
dc.subjectReexplorationen_US
dc.subjectOutcomesen_US
dc.titleEmergency reoperation after open heart surgery: ten years of experienceen_US
dc.typeArticleen_US

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