Kalp Kapak Cerrahi Olgularının Retrospektif İncelenmesi

Ezhar Ersöz; YASEMİN HACANLI; MEHMET SALİH AYDIN; ZİYA MURAT BAĞIŞ; ABDÜSSAMET HAZAR; REŞAT DİKME; MAHMUT PADAK; KADİR EĞİ

doi:10.5281/zenodo.13854768

Authors

Ezhar Ersöz Harran Üniversitesi Tıp Fakültesi Kalp ve Damar Cerrahisi Anabilim Dalı https://orcid.org/0000-0002-7531-4958
YASEMİN HACANLI Harran Üniversitesi Tıp Fakültesi Kalp ve Damar Cerrahisi Anabilim Dalı https://orcid.org/0000-0002-4427-8149
MEHMET SALİH AYDIN Harran Üniversitesi Tıp Fakültesi Kalp ve Damar Cerrahisi Anabilim Dalı https://orcid.org/0000-0002-6652-6035
ZİYA MURAT BAĞIŞ Harran Üniversitesi Tıp Fakültesi Kalp ve Damar Cerrahisi Anabilim Dalı https://orcid.org/0000-0002-4088-7510
ABDÜSSAMET HAZAR Harran Üniversitesi Tıp Fakültesi Kalp ve Damar Cerrahisi Anabilim Dalı https://orcid.org/0000-0001-6245-8664
REŞAT DİKME Harran Üniversitesi Sağlık Hizmetleri Meslek Yüksekokulu, Diyaliz Programi https://orcid.org/0000-0001-9157-7830
MAHMUT PADAK Harran Üniversitesi Sağlık Bilimleri Fakültesi Perfüzyon Bölümü https://orcid.org/0000-0001-6863-1907
KADİR EĞİ Harran Üniversitesi Sağlık Hizmetleri Meslek Yüksekokulu, Diyaliz Programi https://orcid.org/0000-0003-4802-0994

DOI:

https://doi.org/10.5281/zenodo.13854768

Keywords:

Cardiovascular Surgery, Cardiopulmonary bypass, Valves Surgeries, Acquired Heart Valve Disease

Abstract

Objective: Our study aimed to investigate the parameters in perfusion management in patients who underwent open heart surgery with the diagnosis of acquired heart valve disease in the last 20 years.

Material and Methods: This retrospective study included 270 male and female patients over 18 years of age who underwent valve surgery with cardiopulmonary bypass between 2003 and 2023. Patients were grouped according to their valvular heart disease diagnoses. 1. AVR, 2. MVR, 3. TP, 4. AVR+MVR, 5. MVR+TP. Statistical analysis and comparisons were made between these groups for cross-clamp/min and Total/min values, as well as inlet-outlet hydrogen potential (pH), partial pressure of oxygen (pO2), partial pressure of carbon dioxide (pCO2), potassium (K+), hematocrit (Hct) and base deficit (BE) parameters.

Results: According to the results of the analyses; 2BE (pump-out BE value) and 2K+ (pump-out K+ value) values were statistically significant (p<0.004, p<0.001). Cross-clemp/min and total/min times, inlet-outlet pH, pO2, pCO2 and Hct parameters were not statistically significant (p>0.05).

Discussion and Conclusion: Metabolic side effects occur, albeit minimally, in cardiopulmonary bypass heart valve cases. It was concluded that perfusion in valve cases would be safer if cross-clamp and total bypass times were kept short and pH, pO2, pCO2, BE, Hct and K+ parameters were kept within the desired value ranges. Effective blood gas management during CPB is critical for monitoring the metabolic status of patients.

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