Polo-Gutierrez Gerber, Silva-Tejada Harod Anders, Martinez-Ninanqui Franklin Willy, Robles-Velarde Victor, Ríos-Ortega Josías
Instituto Nacional Cardiovascular. Lima, Perú Instituto Nacional Cardiovascular Lima Perú.
Arch Peru Cardiol Cir Cardiovasc. 2023 Jun 30;4(2):55-61. doi: 10.47487/apcyccv.v4i2.287. eCollection 2023 Apr-Jun.
To describe cardiac surgeries, their approaches, and determine operative mortality according to the type of surgery and the main complications recorded within 30 days postoperatively, performed at the National Cardiovascular Institute of Peru.
A descriptive study was conducted on all patients over 18 years of age who underwent cardiovascular surgery at the National Cardiovascular Institute "Carlos Alberto Peschiera Carrillo".
During the year 2022, a total of 503 cardiac surgeries were performed. Of the patients undergoing surgery, 63.6% (320) were males. Isolated valvular surgery, primarily aortic or mitral valve replacement, was the most frequent surgical procedure, with 136 surgeries (27.0%). This was followed by myocardial revascularization surgery with 110 procedures (21.9%). Throughout the year, there were 23 deaths, resulting in an overall mortality rate of 4.5%. The mortality rate for elective surgeries was 2.8%, while for emergency surgeries, it was 14.3%. The most common complication was paroxysmal atrial fibrillation (14.0%), followed by surgical site infection with 52 cases (10.3%).
Valvular surgery, whether isolated or combined with other procedures, was the most frequently performed. The obtained mortality rate is considered acceptable for a reference center.
描述秘鲁国家心血管研究所开展的心脏手术、手术方式，并根据手术类型及术后30天内记录的主要并发症确定手术死亡率。
对所有在“卡洛斯·阿尔韦托·佩施埃拉·卡里略”国家心血管研究所接受心血管手术的18岁以上患者进行描述性研究。
2022年共进行了503例心脏手术。接受手术的患者中，63.6%（320例）为男性。单纯瓣膜手术，主要是主动脉瓣或二尖瓣置换术，是最常见的手术方式，共136例（27.0%）。其次是心肌血运重建手术，共110例（21.9%）。全年共有23例死亡，总死亡率为4.5%。择期手术的死亡率为2.8%，而急诊手术的死亡率为14.3%。最常见的并发症是阵发性心房颤动（14.0%），其次是手术部位感染，共52例（10.3%）。
瓣膜手术，无论是单纯手术还是与其他手术联合，都是最常进行的手术。对于一个参考中心而言，所获得的死亡率被认为是可接受的。
