Effect of Open Heart Surgery on Lung Complications with their Incidence and Fate – a Single Center Study

Authors

  • Tawfiq Ahmed Department of Cardiac Surgery ,Sir Salimullah Medical College Hospital,Dhaka
  • AM Asif Rahim Department of Cardiac Surgery ,Chottagram Medical College Hospital ,Chottagram
  • AHM Iftekher Hossain Department of Cardiac Surgery ,Chottagram Medical College Hospital ,Chottagram
  • M Shahidul Islam Department of Cardiac Surgery, National Institute of Cardiovascular Diseases,Dhaka
  • AYM Shahidullah Department of Cardiac Surgery, Khulna Mohanagar Hospital ,Khulna

DOI:

https://doi.org/10.3329/bhj.v38i1.67188

Keywords:

Open Heart Surgery, Lung Complications

Abstract

This prospective study was designed to determine the incidence of pulmonary complications after open cardiac surgery as well as to identity predisposing factors of these complications at NICVD, Dhaka, Bangladesh. The cumulative incidence of pulmonary complications after open heart surgery was 16.85% (15of 89) with a mortality rate of 33.33% (5 of 15) and the overall mortality among all patients was 5.62% (5 of 89). Pulmonary complications occurred in 15.9% of patients with coronary artery revascularization, 11.53% in patients with valvular replacement and 26.31% in patients with congenital heart disease. ARDS occurred in 2.25% of patients with a mortality rate of about 100%,, pneumonia in 5.62%, atelectasis in 2.25%, pleural effusion in 5.62% and pneumothorax in 3.37%. The most predisposing factors were massive blood transfusion, re-exploration for control of post-operative bleeding, cardiopulmonary resuscitation and prolonged length stay in the intensive care unit.

Bangladesh Heart Journal 2023; 38(1): 8-12

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Published

2023-07-08

How to Cite

Ahmed, T. ., Rahim, A. A. ., Hossain, A. I., Islam, M. S. ., & Shahidullah, A. (2023). Effect of Open Heart Surgery on Lung Complications with their Incidence and Fate – a Single Center Study. Bangladesh Heart Journal, 38(1), 8–12. https://doi.org/10.3329/bhj.v38i1.67188

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Section

Original Articles