[Mortality in cardiac surgery].
The authors analyse the status of the title problem as compared with the experience in surgical activity of the cardiosurgical hospital designed for 75 beds, performing 500-600 heart operations a year with the use of extracorporeal circulation. The total hospital lethality was 0 after "closed" interventions and 5.7% after open correction. Analysis is made of the lethality after the most common operations: aortocoronary shunting (1.8%), prosthetic mitral valve (6.7%), prosthetic aortal valves (8%), and radical correction of Fallot's tetrad (6.2%), and so forth. The paper treats of the structure and causes of the lethality, among which attention is drawn to iatrogenesis. Intensification of surgical work on the basis of the standardization of the main stages of the patient's treatment is regarded as one of the approaches to the lethality reduction.
Konstantinov
B A
BA
Tarichko
Iu V
IuV
Cherepenion
L P
LP
Shabalkin
B V
BV
Osipov
V P
VP
D002300:Cardiac Care Facilities; D006348:Cardiac Surgical Procedures / Q000379:methods / Q000401:mortality*; D002423:Cause of Death; D001026:Coronary Artery Bypass / Q000401:mortality; D005112:Extracorporeal Circulation / Q000401:mortality; D006350:Heart Valve Prosthesis / Q000401:mortality; D006801:Humans; D014586:USSR
O letal'nosti v kardiokhirurgii.