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Showing 5 results for Cardiac Surgery

Ali Asghar Moinipoor, Mohammad Abbasi, Ahmad Amouzeshi, Jamil Esfahanizadeh, Shahram Amini,
Volume 1, Issue 1 (10-2013)
Abstract

 

Introduction: Deep sternal wound infection is a rare but serious complication after cardiac surgery that can increase mortality and morbidity. The aim of this study was to investigate the incidence and causative germs of deep sternal wound infection following cardiac surgery.

 

Methods: Data were collected retrospectively from patients who underwent different cardiac surgeries including coronary artery bypass grafting and valvular heart surgeries between July 2010 and October 2012 at a teaching hospital in the north east of Iran. Patients with a deep sternal wound infection (DSWI) were defined based on clinical findings and culture results of the wound. The patients were tracked for the development of DSWI and causative germs and sensitivity were identified according to the microbiological studies.

 

Results: 4621 patients underwent different cardiac surgeries during the study period. There were 82 cases (1.77%) of DSWI with mean age of 53.93 years and male to female ratio of 47:35 with mortality rate of 10.9%. The most common germs in order of decreasing frequency included Klebsiella, Pseudomonas, Staphylococus Coagulase Negative, Acinetobacter, Staphylocciaureus, Escherichia coli, methicillin resistant Staphylocciaureus, Providenciarettgeri, and Obligatory anaerobe Streptococus.

 

Conclusions: We conclude that DSWI remains a rare but devastating complication and is associated with significant comorbidity, increased hospital mortality, and reduced long-term survival with gram negative rods as the most common pathogens. 

 


Forud Salehiabarghuie, Mohamadreza Mirza Aghayan, Hamid Reza Riasi,
Volume 3, Issue 1 (3-2015)
Abstract

Introduction: Along with advances occurring in cardiopulmonary bypass (CPB) including improved anesthesia intubation and early surgical interventions, it has become possible to correct life-threatening congenital heart anatomic abnormalities in patients. Our study aimed to collect information from one of the most important centers of pediatric cardiac surgery in Iran since there is limited information in this field in our country.

Methods: In this study, the results of  pediatric cardiac surgery and mortality were studied for two years. A retrospective, descriptive study was carried out on 789 patients   within two years. 401cases were excluded as they had congenital heart disease complexity. The patients were referred from other pediatric cardiac medical centers. Information related to kinds of surgical operation and deaths were collected from patients' documents and questionnaire. The data were analyzed by descriptive statistical tests in SPSS version-16.

Results: The age range of patients varied from three days to 18 years. The male/female ratio was 53.4%. CPB was not applied for 21.1% of patients. The frequency of operations included PDA (Patent Ductus Arteriosous) [D&L] (%8.5), total correction for TF (Tetralogy of Fallot) (%16.7), systemic to pulmonary shunt (%26.5), ASD (Atrial Septal Defect) and VSD (Ventricular Septal Defect) closure (%5.4) and (%28), respectively as well as coarctationrepaire (%14.6). Total mortality rate was 8.6%. Analysis of the operated population showed that outcome of patients has improved in recent years.

Conclusions: Compared with other studies, the results of our investigation showed that children's congenital heart surgery is on the rise.


Hamid Hoseinikhah, Freshteh Ghaderi, Mohamadreza Akbari, Kayhan Mizani, Mahsa Moalemi, Aliasghar Moeinipour,
Volume 7, Issue 1 (3-2019)
Abstract

  • The case in this study was a 33-year-old woman suffering from acute pericardial tamponade with severe left ventricular systolic dysfunction (LVEF=10%) after myocarditis as a result of possible viral respiratory infection.
  • The diagnosis was confirmed with two transthoracic echocardiography (TTE) evaluation showing moderate pericardial effusion with diastolic right atrium and ventricle collapse. The hemodynamic and respiratory condition of the patient was unstable and emergent. The drainage of pericardial space was life-saving with good results.

Mahmood Hosseinzadeh Maleki, Aref Akhavan, Amir Rahmanian Sharifabad, Robbeh Baghdar, Zahra Naseri,
Volume 8, Issue 3 (12-2020)
Abstract

  • Patent ductus arteriosus (PDA) is an inborn heart defect in which the ductus arteriosus (i.e., a vascular structure between the pulmonary artery and aorta that usually closes shortly after birth) remains open. Because most patients with PDA are diagnosed and treated when they are infants, this is a relatively rare congenital heart defect among adults. Herein, we present the cases of PDA in adults, which were detected during cardiac surgery.

Samaneh Kouzegaran, Homa Mozaffar Tizabi, Amir Sabertanha, Forod Salehi,
Volume 10, Issue 4 (12-2022)
Abstract

  • Introduction: Congenital heart defects (CHDs) are diagnosed in ≈8 to 10 per 1,000 live births in the United States. This study aimed to determine the outcomes in children with congenital heart disease.
  • Methods: This cross-sectional descriptive-analytical study was conducted using the census method on all patients with a CHD who referred to the pediatric heart clinic in Valiasr Hospital, Birjand, Iran, and underwent heart operation during the desired period. The information contained in the patients' files was used to collect the required data. The rest of the information was gathered by calling the patients' parents. The collected data were analyzed in the SPSS-19 software using the Chi-square test and Fisher's exact test. The significant level was considered at the p-value of ≤ 0.05.
  • Results: The results of the statistical analysis indicated that the type of intervention (i.e., operation, intrusion) had no statistically significant relationship with demographic indicators of gender, age by month, chromosomal abnormalities, the type of heart disease, and the development of children under-study; however, it showed a statistically significant relationship with the type of initial complaint. The rate of operation was significantly higher in the subjects, especially in those who had an initial complaint of murmurs. Based on the results, the age of children had a statistically significant relationship with the need for pacemakers and the amount of pleural effusion; these two outcomes increased significantly with the child's aging.
  • Conclusion: A large number of demographic and clinical factors were effective in children's postoperative outcomes. Consequently, by conducting further studies at a wider level and controlling variables it is possible to compare the findings, achieve more favorable results, and improve clinical indicators.


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