The effects of heart surgery on early and late pulmonary functions: the results of three-year follow-up       
Yazarlar (5)
Handan Inönü
Tokat Gaziosmanpaşa Üniversitesi, Türkiye
Erdinç Naseri
Tokat Gaziosmanpaşa Üniversitesi, Türkiye
Serhat Çelikel
Tokat Gaziosmanpaşa Üniversitesi, Türkiye
Prof. Dr. Ahmet Cemal PAZARLI Tokat Gaziosmanpaşa Üniversitesi, Türkiye
Ilker Etikan
Tokat Gaziosmanpaşa Üniversitesi, Türkiye
Makale Türü Özgün Makale
Makale Alt Türü SSCI, AHCI, SCI, SCI-Exp dergilerinde yayınlanan tam makale
Dergi Adı Turkish Journal of Thoracic and Cardiovascular Surgery
Dergi ISSN 1301-5680 Wos Dergi Scopus Dergi
Dergi Tarandığı Indeksler SCI-Expanded
Dergi Grubu Q4
Makale Dili İngilizce
Basım Tarihi 04-2011
Cilt No 19
Sayı 2
Sayfalar 144 / 150
DOI Numarası 10.5606/tgkdc.dergisi.2011.003
Makale Linki http://dx.doi.org/10.5606/tgkdc.dergisi.2011.003
Özet
Background: In this study, we evaluated the pulmonary functions three months and three years after heart surgery. Methods: Twenty-five patients (19 males, 6 females; mean age 55.5±13.4 years; range 17 to 77 years) who underwent elective open heart surgery between August 2005 and March 2006 in the Cardiovascular Surgery Clinic of our hospital were prospectively evaluated. Pulmonary function tests (PFT) and arterial blood gas (ABG) analyses were performed before the operation and in the 3rd month and 3rd year after the operation. Results: Sixty four percent of 25 patients had coronary artery bypass graft (CABG) surgery, 20% of them had valve replacement surgery (VRS), while 16% of them had both CABG and VRS. The stage of heart failure before the surgery, was class III in 68% of patients, class II in 24%, and class IV in 8% according to the New York Heart Association (NYHA) heart failure classification. When compared to preoperative values, the difference in the postoperative 3rd month a nd 3rd year values of the PFT parameters VC, FEV1, FVC, FEF25, FEF50, FEF75 and MMEF was statistically significant (p=0.0001), whereas the difference was not significant in terms of FEV1/FVC ratio and PEF (p>0.05). There was no difference between the preoperative and postoperative ABG values (p>0.05). Conclusion: The most important result of this study is that the PFT parameters after three years were significantly lower than the preoperative values. This result is remarkable since it shows that the functional changes that develop after the operation persist at the end of 3rd year.
Anahtar Kelimeler
Cardiac surgery | Cardiopulmonary bypass | Pulmonary function tests | Valve replacement surgery