What are potential complications seen in the post operative period after a open heart surgery?

. 2021 Jun;36(6):2045-2052.

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Impact of postoperative complications after cardiac surgery on long-term survival
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What is the most common complication after open heart surgery?
What are potential complications seen in the post operative period after a CAGB or open heart surgery?
What are the after effects of open heart surgery?
Which are the potential complications of cardiac surgery?

doi: 10.1111/jocs.15471. Epub 2021 Mar 9.

Annalisa Bernabei 1 , Hartzell Schaff 1 , John Stulak 1 , Kevin Greason 1 , Alberto Pochettino 1 , Richard Daly 1 , Joseph Dearani 1 , Gabor Bagameri 1 , Katherine King 2 , Jason Viehman 2 , Juan Crestanello 1

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PMID: 33686738
DOI: 10.1111/jocs.15471

Impact of postoperative complications after cardiac surgery on long-term survival

Siddharth Pahwa et al. J Card Surg. 2021 Jun.

Abstract

Purpose: The impact of postoperative complications on long-term survival is not well characterized. We sought to study the prevalence of postoperative complications after cardiac surgery and their impact on long-term survival.

Methods: Operative survivors (n = 26,221) who underwent coronary artery bypass grafting (CABG) (n = 13,054, 49.8%), valve surgery (n = 8667, 33.1%) or combined CABG and valve surgery (n = 4500, 17.2%) from 1993 to 2019 were included in the study. Records were reviewed for postoperative complications and long-term survival. Propensity-match analysis was performed between patients who did and did not have a postoperative complication. The associations between postoperative complications and survival were assessed using a Cox-proportional model.

Results: Complications occurred in 17,463 (66.6%) of 26,221 operative survivors. A total of 17 postoperative complications were analyzed. Postoperative blood product use was the commonest (n = 12,397, 47.3%), followed by atrial fibrillation (n = 8399, 32.0%), prolonged ventilation (n = 2336, 8.9%), renal failure (n = 870, 3.3%), reoperation for bleeding (n = 859, 3.3%) and pacemaker/ICD insertion (n = 795, 3.0%). Stroke (hazard ratio [HR]: 1.55; 95% confidence interval [CI]: 1.36-1.77), renal failure (HR: 1.45; 95% CI: 1.33-1.58) and pneumonia (HR: 1.23; 95% CI: 1.11-1.36) had the strongest impact on long-term survival. Long-term survival decreased as the number of postoperative complications increased.

Conclusions: Postoperative complications after cardiac surgery significantly impact outcomes that extend beyond the postoperative period. Stroke, renal failure, and pneumonia are particularly associated with poor long-term survival.

Keywords: long-term survival; postoperative complications.

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What is the most common complication after open heart surgery?

Bleeding. The most common complication after open heart surgery is bleeding from the area of the incision or surgery site. During the surgery itself as well as recovery, you will be closely monitored and your progress tracked.

What are potential complications seen in the post operative period after a CAGB or open heart surgery?

chest wound infection (more common in patients with obesity or diabetes, or those who've had a CABG before) heart attack or stroke. irregular heartbeat. lung or kidney failure.

What are the after effects of open heart surgery?

After surgery, you may experience: Constipation (a common side effect of strong pain relievers). Depression or mood swings. Insomnia or difficulty sleeping.

Which are the potential complications of cardiac surgery?

Abstract:.

Respiratory Compromise. chest infection. pulmonary embolism. Exacerbation of COPD. pleural effusion..

Major Haemorrhage..

Complications of Thoracic Incisions. Deep sternal wound infection. Superficial wound infection. sternal instability and sterile dehiscence. Sternal dehiscence. Hypertrophic and Keloid scars..