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KMID : 0438219770140020349
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Korea University Medical Journal
1977 Volume.14 No. 2 p.349 ~ p.358
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Complications in Thoracic and Cardiovascular Surgery
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Abstract
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As a result of advances in anesthesiology, refinements in surgical technique, and improvements in postoperative care, the incidence of complications following major thoracic and cardiovascular surgery has decreased remarkably in recent years.
The following complications of thoracic and cardiovascular operations are discussed with reference to their frequency of occurence, etiology, diagnosis and treatment according to auther´s experience in 487 major operations among 595 cases of admission during the period from March 1973 to March 1977 at The Department of Thoracic and Cardiovascular Surgery, Korea University Hospital, Seoul, Korea: residual space after pulmonary resection, pulmonary insufficiency, septicemia, atelectasis, and embolism after open cardiac procedures.
Total incidence of complications among 487 major operations is 12.53% with operative mortality of 2.26% (11 cases) : two from pulmonary insufficiency after bilateral staged decortication for tuberculous empyema and right pneumonectomy for bronchogenic carcinoma, six from septicemia after drainage procedure for-mediastinal _abscess, thoracic empyema and bacterial pericarditis, one from thromboembolism at the site of replaced mitral valve with Beall-Surgitool disc valve, and another two from bilateral total atelectasis of the lung during Glenn operation for Ebstein anomaly and Blalock-Hanlon operation for transposition of great arteries.
The most serious non-lethal complication is left hemiplegia with mental deterioration due to cerebral air-embolism during open cardiac correction of atrial septal defect in one case among nine open cardiac procedures.
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