Objectives: To determine the most common neurologic complications and predisposing factors after open-heart surgery in a tertiary hospital located in Cebu City, Philippines.
Study Design: Retrospective Descriptive.
Participants: Patients who underwent open Heart surgery from July 23,1994 to July 23 2014.
Results: There were 423 adult patients that underwent Open-heart surgery in the span of 20 years in this tertiary hospital. Coronary Artery Bypass was the most common procedure done with a total of 327 (77.3%), followed by Mitral Valve Repair with a total of 74 (17.49%). Fourteen patients (4%) patients developed postoperative neurologic deficits.
Majority were male patients 11 (79%) and 3 (21%) were females. Among those with neurologic deficits, the mean age was 59.57 years old ±10.51. Operations done were CABG (64%), MVR (29%), and AVR (7%).
Preoperative demographics were noted. Majority had a NYHA for CHF of functional Class II. About 57% had Sinus Rhythm, 21% for both Sinus Tachycardia and Atrial Fibrillation. The average Ejection Fraction was 57.86 ± 13.32. All of the patients who had neurologic deficits had Angina Pectoris on admission.
The average Cross Clamp time was 1.86 ± 0.62 hours and a bypass time average of 2.34 ± 1.28 hours. Postoperative outcomes of patients that developed neurologic deficits were reported. Among the 14 patients 50% of which developed Major neurologic deficits, 21% developed Seizure and deterioration of intellectual function. Time of onset of neurologic complications had an average of 10.23 ± 13.85 hours.
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© 2015 Published by Elsevier Inc.
