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==Aortic Insufficiency Surgery Complications== | ==Aortic Insufficiency Surgery Complications== | ||
'''Risks of any surgery''' | '''Risks of any surgery''' | ||
Some Complications associated with any surgical procedure include:<ref name="pmid23465097">{{cite journal| author=Carrabba N, Valenti R, Migliorini A, Vergara R, Parodi G, Antoniucci D| title=Prognostic value of myocardial injury following transcatheter aortic valve implantation. | journal=Am J Cardiol | year= 2013 | volume= 111 | issue= 10 | pages= 1475-81 | pmid=23465097 | doi=10.1016/j.amjcard.2013.01.301 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23465097 }} </ref><ref name="pmid23415511">{{cite journal| author=Barbash IM, Dvir D, Ben-Dor I, Badr S, Okubagzi P, Torguson R et al.| title=Prevalence and effect of myocardial injury after transcatheter aortic valve replacement. | journal=Am J Cardiol | year= 2013 | volume= 111 | issue= 9 | pages= 1337-43 | pmid=23415511 | doi=10.1016/j.amjcard.2012.12.059 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23415511 }} </ref><ref name="pmid25801148">{{cite journal| author=Chatani K, Abdel-Wahab M, Wübken-Kleinfeld N, Gordian K, Pötzing K, Mostafa AE et al.| title=Acute kidney injury after transcatheter aortic valve implantation: Impact of contrast agents, predictive factors, and prognostic importance in 203 patients with long-term follow-up. | journal=J Cardiol | year= 2015 | volume= 66 | issue= 6 | pages= 514-9 | pmid=25801148 | doi=10.1016/j.jjcc.2015.02.007 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25801148 }} </ref><ref name="pmid27989360">{{cite journal| author=Escobar MA, Caty MG| title=Complications in neonatal surgery. | journal=Semin Pediatr Surg | year= 2016 | volume= 25 | issue= 6 | pages= 347-370 | pmid=27989360 | doi=10.1053/j.sempedsurg.2016.10.005 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=27989360 }} </ref><ref name="pmid23645479">{{cite journal| author=Bechtel P, Boorse R, Rovito P, Harrison TD, Hong J| title=Warfarin users prone to coagulopathy in first 30 days after hospital discharge from gastric bypass. | journal=Obes Surg | year= 2013 | volume= 23 | issue= 10 | pages= 1515-9 | pmid=23645479 | doi=10.1007/s11695-013-0972-5 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23645479 }} </ref><ref name="pmid26894090">{{cite journal| author=Kumar AS, Alaparthi GK, Augustine AJ, Pazhyaottayil ZC, Ramakrishna A, Krishnakumar SK| title=Comparison of Flow and Volume Incentive Spirometry on Pulmonary Function and Exercise Tolerance in Open Abdominal Surgery: A Randomized Clinical Trial. | journal=J Clin Diagn Res | year= 2016 | volume= 10 | issue= 1 | pages= KC01-6 | pmid=26894090 | doi=10.7860/JCDR/2016/16164.7064 | pmc=4740618 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26894090 }} </ref><ref name="pmid26556919">{{cite journal| author=Kelkar KV| title=Post-operative pulmonary complications after non-cardiothoracic surgery. | journal=Indian J Anaesth | year= 2015 | volume= 59 | issue= 9 | pages= 599-605 | pmid=26556919 | doi=10.4103/0019-5049.165857 | pmc=4613407 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26556919 }} </ref> | |||
*[[Pulmonary embolism]] where blood clots in the legs travel to the lungs | *[[Pulmonary embolism]] where blood clots in the legs travel to the lungs | ||
*Blood loss | *Blood loss | ||
| Line 20: | Line 20: | ||
'''Possible risks from having [[open-heart surgery]]''' | '''Possible risks from having [[open-heart surgery]]''' | ||
There are many risks associated with open heart surgery.<ref name="pmid23465097">{{cite journal| author=Carrabba N, Valenti R, Migliorini A, Vergara R, Parodi G, Antoniucci D| title=Prognostic value of myocardial injury following transcatheter aortic valve implantation. | journal=Am J Cardiol | year= 2013 | volume= 111 | issue= 10 | pages= 1475-81 | pmid=23465097 | doi=10.1016/j.amjcard.2013.01.301 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23465097 }} </ref><ref name="pmid23415511">{{cite journal| author=Barbash IM, Dvir D, Ben-Dor I, Badr S, Okubagzi P, Torguson R et al.| title=Prevalence and effect of myocardial injury after transcatheter aortic valve replacement. | journal=Am J Cardiol | year= 2013 | volume= 111 | issue= 9 | pages= 1337-43 | pmid=23415511 | doi=10.1016/j.amjcard.2012.12.059 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23415511 }} </ref>The postoperative risk factors can be related to various factors including albumin, TLC and BMI.<ref name="pmid27982346">{{cite journal| author=Gonçalves LB, Jesus NM, Gonçalves MB, Dias LC, Deiró TC| title=Preoperative Nutritional Status and Clinical Complications in the Postoperative Period of Cardiac Surgeries. | journal=Braz J Cardiovasc Surg | year= 2016 | volume= 31 | issue= 5 | pages= 371-380 | pmid=27982346 | doi=10.5935/1678-9741.20160077 | pmc=5144568 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=27982346 }} </ref> Other possible complications after an heart surgery include:<ref name="pmid20802907">{{cite journal| author=Laizo A, Delgado FE, Rocha GM| title=Complications that increase the time of Hospitalization at ICU of patients submitted to cardiac surgery. | journal=Rev Bras Cir Cardiovasc | year= 2010 | volume= 25 | issue= 2 | pages= 166-71 | pmid=20802907 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20802907 }} </ref><ref name="pmid17992325">{{cite journal| author=Taniguchi FP, Souza AR, Martins AS| title=Cardiopulmonary bypass time as a risk factor for acute renal failure. | journal=Rev Bras Cir Cardiovasc | year= 2007 | volume= 22 | issue= 2 | pages= 201-5 | pmid=17992325 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17992325 }} </ref><ref name="pmid20053534">{{cite journal| author=Jakob SM, Stanga Z| title=Perioperative metabolic changes in patients undergoing cardiac surgery. | journal=Nutrition | year= 2010 | volume= 26 | issue= 4 | pages= 349-53 | pmid=20053534 | doi=10.1016/j.nut.2009.07.014 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20053534 }} </ref><ref name="pmid8222841">{{cite journal| author=Cheng DC, Asokumar B, Nakagawa T| title=Amrinone therapy for severe pulmonary hypertension and biventricular failure after complicated valvular heart surgery. | journal=Chest | year= 1993 | volume= 104 | issue= 5 | pages= 1618-20 | pmid=8222841 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8222841 }} </ref> | |||
*[[Heart attack]] or stroke | *[[Heart attack]] or stroke | ||
| Line 28: | Line 29: | ||
'''Prosthetic heart valves are associated with a variety of complications''' | '''Prosthetic heart valves are associated with a variety of complications''' | ||
The complications associated with prosthetic heart valves include:<ref name="pmid8222841">{{cite journal| author=Cheng DC, Asokumar B, Nakagawa T| title=Amrinone therapy for severe pulmonary hypertension and biventricular failure after complicated valvular heart surgery. | journal=Chest | year= 1993 | volume= 104 | issue= 5 | pages= 1618-20 | pmid=8222841 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8222841 }} </ref><ref name="pmid27989089">{{cite journal| author=Sánchez E, Corrales JA, Fantidis P, Tarhini IS, Khan I, Pineda T et al.| title=Thrombocytopenia after Aortic Valve Replacement with Perceval S Sutureless Bioprosthesis. | journal=J Heart Valve Dis | year= 2016 | volume= 25 | issue= 1 | pages= 75-81 | pmid=27989089 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=27989089 }} </ref><ref name="pmid27621826">{{cite journal| author=Lunardi M, Pesarini G, Zivelonghi C, Piccoli A, Geremia G, Ariotti S et al.| title=Clinical outcomes of transcatheter aortic valve implantation: from learning curve to proficiency. | journal=Open Heart | year= 2016 | volume= 3 | issue= 2 | pages= e000420 | pmid=27621826 | doi=10.1136/openhrt-2016-000420 | pmc=5013502 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=27621826 }} </ref><ref name="pmid27123462">{{cite journal| author=Zhao Y, Cui GM, Zhou NN, Li C, Zhang Q, Sun H et al.| title=Calpain-Calcineurin-Nuclear Factor Signaling and the Development of Atrial Fibrillation in Patients with Valvular Heart Disease and Diabetes. | journal=J Diabetes Res | year= 2016 | volume= 2016 | issue= | pages= 4639654 | pmid=27123462 | doi=10.1155/2016/4639654 | pmc=4830711 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=27123462 }} </ref> | |||
*Structural deterioration, particularly with bioprosthetic valves | *Structural deterioration, particularly with bioprosthetic valves | ||
Revision as of 04:45, 5 January 2017
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Aortic Insufficiency Surgery | |
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Treatment | |
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Aortic insufficiency surgery complications On the Web | |
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American Roentgen Ray Society Images of Aortic insufficiency surgery complications | |
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Directions to Hospitals Performing Aortic insufficiency Surgery | |
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Risk calculators and risk factors for Aortic insufficiency surgery complications | |
For the WikiPatient page for this topic, click here; For the main page of aortic insufficiency, click here
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor-In-Chief: Cafer Zorkun, M.D., Ph.D. [2], Varun Kumar, M.B.B.S., Lakshmi Gopalakrishnan, M.B.B.S., Mohammed A. Sbeih, M.D.[3]
Related Key Words and Synonyms: Aortic valve replacement.
Aortic Insufficiency Surgery Complications
Risks of any surgery Some Complications associated with any surgical procedure include:[1][2][3][4][5][6][7]
- Pulmonary embolism where blood clots in the legs travel to the lungs
- Blood loss
- Breathing problems
- Infection, including in the lungs, kidneys, bladder, chest, or heart valves
- Reactions to medicines
- Nausea and vomiting
- Abnormal or painful scar formation
- Allergic skin reaction
Possible risks from having open-heart surgery There are many risks associated with open heart surgery.[1][2]The postoperative risk factors can be related to various factors including albumin, TLC and BMI.[8] Other possible complications after an heart surgery include:[9][10][11][12]
- Heart attack or stroke
- Heart rhythm problems; such as atrial fibrillation
- Infection at the site of the incision cut, which is more likely to happen in people who are obese, have diabetes, women, or have already had this surgery
- Memory loss and loss of mental clarity, or "fuzzy thinking" or pump head
- Post-pericardiotomy syndrome, which presents as a low-grade fever and chest pain. This could last for up to 6 months
Prosthetic heart valves are associated with a variety of complications The complications associated with prosthetic heart valves include:[12][13][14][15]
- Structural deterioration, particularly with bioprosthetic valves
- Valve obstruction due to thrombosis or pannus formation
- Systemic embolization
- Bleeding
- Endocarditis and other infections
- Left ventricular systolic dysfunction, which may be preexisting (Heart failure)
- Hemolytic anemia
References
- ↑ 1.0 1.1 Carrabba N, Valenti R, Migliorini A, Vergara R, Parodi G, Antoniucci D (2013). "Prognostic value of myocardial injury following transcatheter aortic valve implantation". Am J Cardiol. 111 (10): 1475–81. doi:10.1016/j.amjcard.2013.01.301. PMID 23465097.
- ↑ 2.0 2.1 Barbash IM, Dvir D, Ben-Dor I, Badr S, Okubagzi P, Torguson R; et al. (2013). "Prevalence and effect of myocardial injury after transcatheter aortic valve replacement". Am J Cardiol. 111 (9): 1337–43. doi:10.1016/j.amjcard.2012.12.059. PMID 23415511.
- ↑ Chatani K, Abdel-Wahab M, Wübken-Kleinfeld N, Gordian K, Pötzing K, Mostafa AE; et al. (2015). "Acute kidney injury after transcatheter aortic valve implantation: Impact of contrast agents, predictive factors, and prognostic importance in 203 patients with long-term follow-up". J Cardiol. 66 (6): 514–9. doi:10.1016/j.jjcc.2015.02.007. PMID 25801148.
- ↑ Escobar MA, Caty MG (2016). "Complications in neonatal surgery". Semin Pediatr Surg. 25 (6): 347–370. doi:10.1053/j.sempedsurg.2016.10.005. PMID 27989360.
- ↑ Bechtel P, Boorse R, Rovito P, Harrison TD, Hong J (2013). "Warfarin users prone to coagulopathy in first 30 days after hospital discharge from gastric bypass". Obes Surg. 23 (10): 1515–9. doi:10.1007/s11695-013-0972-5. PMID 23645479.
- ↑ Kumar AS, Alaparthi GK, Augustine AJ, Pazhyaottayil ZC, Ramakrishna A, Krishnakumar SK (2016). "Comparison of Flow and Volume Incentive Spirometry on Pulmonary Function and Exercise Tolerance in Open Abdominal Surgery: A Randomized Clinical Trial". J Clin Diagn Res. 10 (1): KC01–6. doi:10.7860/JCDR/2016/16164.7064. PMC 4740618. PMID 26894090.
- ↑ Kelkar KV (2015). "Post-operative pulmonary complications after non-cardiothoracic surgery". Indian J Anaesth. 59 (9): 599–605. doi:10.4103/0019-5049.165857. PMC 4613407. PMID 26556919.
- ↑ Gonçalves LB, Jesus NM, Gonçalves MB, Dias LC, Deiró TC (2016). "Preoperative Nutritional Status and Clinical Complications in the Postoperative Period of Cardiac Surgeries". Braz J Cardiovasc Surg. 31 (5): 371–380. doi:10.5935/1678-9741.20160077. PMC 5144568. PMID 27982346.
- ↑ Laizo A, Delgado FE, Rocha GM (2010). "Complications that increase the time of Hospitalization at ICU of patients submitted to cardiac surgery". Rev Bras Cir Cardiovasc. 25 (2): 166–71. PMID 20802907.
- ↑ Taniguchi FP, Souza AR, Martins AS (2007). "Cardiopulmonary bypass time as a risk factor for acute renal failure". Rev Bras Cir Cardiovasc. 22 (2): 201–5. PMID 17992325.
- ↑ Jakob SM, Stanga Z (2010). "Perioperative metabolic changes in patients undergoing cardiac surgery". Nutrition. 26 (4): 349–53. doi:10.1016/j.nut.2009.07.014. PMID 20053534.
- ↑ 12.0 12.1 Cheng DC, Asokumar B, Nakagawa T (1993). "Amrinone therapy for severe pulmonary hypertension and biventricular failure after complicated valvular heart surgery". Chest. 104 (5): 1618–20. PMID 8222841.
- ↑ Sánchez E, Corrales JA, Fantidis P, Tarhini IS, Khan I, Pineda T; et al. (2016). "Thrombocytopenia after Aortic Valve Replacement with Perceval S Sutureless Bioprosthesis". J Heart Valve Dis. 25 (1): 75–81. PMID 27989089.
- ↑ Lunardi M, Pesarini G, Zivelonghi C, Piccoli A, Geremia G, Ariotti S; et al. (2016). "Clinical outcomes of transcatheter aortic valve implantation: from learning curve to proficiency". Open Heart. 3 (2): e000420. doi:10.1136/openhrt-2016-000420. PMC 5013502. PMID 27621826.
- ↑ Zhao Y, Cui GM, Zhou NN, Li C, Zhang Q, Sun H; et al. (2016). "Calpain-Calcineurin-Nuclear Factor Signaling and the Development of Atrial Fibrillation in Patients with Valvular Heart Disease and Diabetes". J Diabetes Res. 2016: 4639654. doi:10.1155/2016/4639654. PMC 4830711. PMID 27123462.