R
RandyL
I once read what the survival percentages for multiple heart surgeries were. I did a search and can't find anything. Does someone know?
Thanks
Thanks
Help Support Valve Replacement Forums:
M
Mary
Randy,
Here is a quote from Cleveland Clinic regarding their valve reops for 2005.
Valve reoperations counted for 26% of all valve procedures at Cleveland Clinic in 2005. Hospital mortality was only 4.4%, despite the fact that 77% of patients had concomitant procedures performed during reoperation.
Here is a quote from Cleveland Clinic regarding their valve reops for 2005.
Valve reoperations counted for 26% of all valve procedures at Cleveland Clinic in 2005. Hospital mortality was only 4.4%, despite the fact that 77% of patients had concomitant procedures performed during reoperation.
R
RandyL
well that sounds pretty good Mary
Nancy
Well-known member
Here's what they have told Joe, first one mortality approx. 1-2 percent, second one mortality approx. 2 and slightly more, third one mortality approx. 15 percent. Fourth one, well, you really don't want to hear it, but another group of doctors told him 45-80 percent mortality, that takes into account all his other medical problems.
Randy, i don't know how the %s go up, but wanted to let you know I litterally know hundreds of kids/young adults that have had 3 or more OHS and are doing fine. Justin had his 4th last may (and the summer before that had the bottom part of his scar opened to remove his broken pacer from his abdomen) and actually was home faster than any of the other surgeries, actually was out of CCU less than 24 hours postop. Justin had huge scar issues, and i asked his cardiologist, not for %'s but if he planned on Justin coming home after surgery, he told me if he didn't he wouldn't have him go thru the surgery, so the odds had to be pretty good. I think alot of the redo problems have to do w/ the scar tissue between the heart and sternum and i believe I heard that chances are actually better when surgeries are closer (like your would be) since that doesn't give the scarring if there is any much time to grow alot.
I know every case is different, but just wanted to to know there are alot of people i know that have had a few surgeries. I think if I were in your place, when you are talking to surgeons, you should also talk to some of the surgeons that specialize in adults w/ CHDs, since they probably have the most experience operating on hearts that have had multiple redos, since alot of the adults w/ CHDs had surgeries as children or like Justin , he will need surgeries every 10-15 years until they come up w/ better valves/conduits. Lyn
I know every case is different, but just wanted to to know there are alot of people i know that have had a few surgeries. I think if I were in your place, when you are talking to surgeons, you should also talk to some of the surgeons that specialize in adults w/ CHDs, since they probably have the most experience operating on hearts that have had multiple redos, since alot of the adults w/ CHDs had surgeries as children or like Justin , he will need surgeries every 10-15 years until they come up w/ better valves/conduits. Lyn
G
geebee
When they say hospital mortality, are they talking about total hospital or just valve operations? The statement sounds a little confusing to me.Mary said:
D
davidfortune
In this context they are referring to valve reop patients - that didn't leave the hospital (4.4%) in spite of the fact that 77% of reops had more than one procedure done at the time.
Figure also that CC gets the hard/bad reop cases. They're good but the difficulty probably ups the mortality % (take this as a guess not an extrapolation please - just using some common sense here not predcting statistical significance.....)
Figure also that CC gets the hard/bad reop cases. They're good but the difficulty probably ups the mortality % (take this as a guess not an extrapolation please - just using some common sense here not predcting statistical significance.....)
M
Mary
Here's the link that I pulled the #'s off.
http://www.clevelandclinic.org/heartcenter/pub/about/surgoutcomes/valve/valve1.asp?firstCat=59&secondCat=440&thirdCat=443
I think Barbweil originally found it, and Lance used it in one of her posts. I located it using the search mortality rates for multiple valve replacements.
David explained it the same way that I understand it to be.
I think Lynw has recently given us a link that ranks mortality rates according to the heart surgery performed. I'll look for that one for you, Randy.
http://www.clevelandclinic.org/heartcenter/pub/about/surgoutcomes/valve/valve1.asp?firstCat=59&secondCat=440&thirdCat=443
I think Barbweil originally found it, and Lance used it in one of her posts. I located it using the search mortality rates for multiple valve replacements.
David explained it the same way that I understand it to be.
I think Lynw has recently given us a link that ranks mortality rates according to the heart surgery performed. I'll look for that one for you, Randy.
Some stats
Some stats
Randy I have attached a couple of links below one to the summary another to the full article on AVR redos.
http://www.ncbi.nlm.nih.gov/entrez/...ve&db=PubMed&list_uids=15138098&dopt=Abstract
The full article
http://www.pccvs.com/files/documents/articles/redoavrarticle.pdf#search="avr redo risks"
I found a presentation on AVR redo risks a while ago it was presented at a Canadian heart conference; I wished I could find it again for you. It had the risks on patients up to their 3rd redo, 4th operation. Surprisingly the 2nd operation was the highest mortality; those patients that could make it past 2 were most likely younger and didn't have a long list of other health problems.
Some stats
Randy I have attached a couple of links below one to the summary another to the full article on AVR redos.
http://www.ncbi.nlm.nih.gov/entrez/...ve&db=PubMed&list_uids=15138098&dopt=Abstract
The full article
http://www.pccvs.com/files/documents/articles/redoavrarticle.pdf#search="avr redo risks"
I found a presentation on AVR redo risks a while ago it was presented at a Canadian heart conference; I wished I could find it again for you. It had the risks on patients up to their 3rd redo, 4th operation. Surprisingly the 2nd operation was the highest mortality; those patients that could make it past 2 were most likely younger and didn't have a long list of other health problems.
