Aortic stenosis surgery complications: Difference between revisions
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====Prosthetic Heart Valves are Associated with a Variety of Complications==== | ====Prosthetic Heart Valves are Associated with a Variety of Complications==== | ||
The complications associated with a Prosthetic heart valve placement include:<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> | The complications associated with a Prosthetic heart valve placement include:<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 | ||
*Valve obstruction due to [[thrombosis]] or pannus formation | *Valve obstruction due to [[thrombosis]] or pannus formation | ||
*Systemic [[embolization]] | *Systemic [[embolization]] | ||
*[[Atrial Fibrillation]] | |||
*Thrombocytopenia or Bleeding | *Thrombocytopenia or Bleeding | ||
*[[Endocarditis]] and other infections | *[[Endocarditis]] and other infections | ||
Revision as of 20:41, 20 December 2016
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Aortic stenosis surgery | |
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Treatment | |
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Aortic stenosis surgery complications On the Web | |
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American Roentgen Ray Society Images of Aortic stenosis surgery complications | |
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Risk calculators and risk factors for Aortic stenosis surgery complications | |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor-In-Chief: Mohammed A. Sbeih, M.D. [2]
Complications
Risks of any Surgery
Surgeries are usually associated with various complications ranging from mild to severe in nature. [1][2][3][4]
- Blood clots in the legs that may 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 possible complications after an Open Heart Surgery. The postoperative risk factors can be related to various factors including albumin, TLC and BMI.[5] Some possible complications after a cardiac surgery are:[6][7][8]
- Heart attack or stroke
- Heart rhythm problems; such as atrial fibrillation
- Infection in the cut, which is more likely to happen in people who are obese, have diabetes, or have already had this surgery
- Memory loss and loss of mental clarity, or "fuzzy thinking"
- Post-pericardiotomy syndrome, which is a low-grade fever and chest pain. This could last for up to 6 months.
- Acute Renal Failure
- Metabolic complications like hyperglycaemia, hypokalemia and increased free fatty acid concentration.
Prosthetic Heart Valves are Associated with a Variety of Complications
The complications associated with a Prosthetic heart valve placement include:[9][10][11]
- Structural deterioration, particularly with bioprosthetic valves
- Valve obstruction due to thrombosis or pannus formation
- Systemic embolization
- Atrial Fibrillation
- Thrombocytopenia or Bleeding
- Endocarditis and other infections
- Left ventricular systolic dysfunction, which may be preexisting (Heart failure)
- Hemolytic anemia
References
- ↑ 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.
- ↑ 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.