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Table 3 Postoperative clinical outcomes

From: Minimally invasive beating heart technique for mitral valve surgery in patients with previous sternotomy and giant left ventricle

Features

Minimally invasive beating heart (n = 30)

Median resternotomy arrested heart (n = 50)

P Value

30-day mortality postoperative complications

2 (6.7%)

7 (14.0%)

0.52

 Stroke

0%

3 (6.0%)

1.0

 Acute renal failure

2 (6.7%)

7 (14.0%)

0.52

 Liver dysfunction

2 (6.7%)

5 (10.0%)

0.92

 Pulmonary complications

2 (6.7%)

6 (12.0%)

0.70

 MODS

2 (6.7%)

7 (14.0%)

0.52

 LCOS

1 (3.3%)

5 (10.0%)

0.51

 Ventricular fibrillation

2 (6.7%)

7 (14.0%)

0.52

 Cardiac tamponade

1 (3.3%)

3 (6.0%)

1.0

 Cardiac arrest

0%

2 (4.0%)

0.53

 Atrioventricular block

1 (3.3%)

4 (8.0%)

0.72

 Superficial wound infection

0%

2 (4.0%)

0.53

Atrial fibrillation

11 (36.7%)

18 (36.0%)

0.95

Transfusion Ratio

20 (66.7%)

45 (90.0%)

0.01

Transfusion Amount(U)

2.0 (0 ~ 16)

5.0 (0 ~ 20)

< 0.001

Drainage Volume(ml)

450 (100 ~ 3000)

800 (250 ~ 4320)

0.001

Extubation time(hours)

13 (6 ~ 50)

17 (9 ~ 72)

0.04

ICU stay(hours)

16.5 (11 ~ 58)

24.5 (13 ~ 80)

0.04

Postoperative hospital stay(days)

6 (5 ~ 28)

9 (5 ~ 45)

< 0.001

6 months postoperative

 LVEDD(mm)

64.3 ± 3.3

64.4 ± 4.2

0.18

 LVEF

0.55 ± 0.07

0.53 ± 0.08

0.50

 Cardiothoracic Ratio

0.62 ± 0.04

0.63 ± 0.05

0.24

 NYHA functional class

  

0.33

  I

14 (46.7%)

18 (36.0%)

 

  II

13 (43.3%)

25 (50.0%)

 

  III

2 (6.7%)

4 (8.0%)

 

  IV

1 (3.3%)

3 (10.0%)

 
  1. Continuous variables are expressed as means ± standard deviation or medians with range. Bold values represent P values are considered to be statistically significant at <0.05
  2. Acronyms: LCOS Low cardiac output syndrome, MODS Multiple organ dysfunction syndrome, ICU Intensive care unit, LVEDD Left ventricular end diastolic diameter, LVEF Left ventricular ejection fraction, NYHA New York Heart Association