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Revista Medica Herediana

Print version ISSN 1018-130XOn-line version ISSN 1729-214X

Abstract

SALAMANCA, Max A.; CUBA, Eliana; CASTILLO-DE LA CADENA, Luis  and  VIDAL, David. Characteristics of interventions in cardiac surgery in a general hospital of Lima, Peru. Rev Med Hered [online]. 2022, vol.33, n.4, pp.227-236. ISSN 1018-130X.  http://dx.doi.org/10.20453/rmh.v33i4.4401.

Objective:

To describe the clinical, epidemiological, and surgical characteristics of cardiac interventions in a general hospital in Lima, Peru.

Methods

: a retrospective and descriptive study was carried-out at Hospital Maria Auxiliadora from 2009-2019, 41 patients were included.

Results:

Median age was 44 years (IQR: 26.5-58.5); 75.6% were females. Underlying conditions were arrhythmias (56.1%); blood hypertension (36.6%); strokes (24.4%) and diabetes (14.6%). Valve replacement using prosthetic valves was the most frequent procedure (39%), mainly mitral valve replacement; followed by surgical repairs of septum abnormalities, mainly atrial defects (26.8%). The most common post-operative complications were nosocomial pneumonia (14%), new arrhythmia (14%) and low output syndrome (12%). Mean times of extracorporeal circulation and aortic clamping were 97.5 ± 39.0 min and 68.1 ± 35.5 min, respectively. Mean ICU and hospital stays were 4.1 ± 2.9 and 22.3 ± 10.9 days, respectively. No fatalities were recorded 30-days after the procedures.

Conclusions:

Young, predominantly female adults with significant comorbidities were surgically intervened in this setting. The main surgical procedure was valve replacement, no differences with reports from Latin America were found.

Keywords : Cardiac surgical procedures; heart diseases; heart injuries; heart valve prosthesis.

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