Effects of chronic obstructive pulmonary disease on morbidity and mortality after mitral valve surgery
Ayten Saraçoğlu1, Yasemen Durak Erdinç2, Kemal Tolga Saraçoğlu1, İbrahim Haluk Kafalı1
1Department of Anesthesiology and Reanimation, Istanbul Bilim University School of Medicine, Istanbul, Turkey
2Department of Cardiovascular Surgery, Istanbul Bilim University School of Medicine, Istanbul, Turkey
Keywords: Chronic obstructive pulmonary disease; mitral valve surgery; morbidity.
Chronic obstructive pulmonary disease is characterized by several physiological abnormalities including mucous hypersecretion and ciliary dysfunction, airflow obstruction and hyperinflation, gas exchange abnormalities, pulmonary hypertension and systemic effects. Cardiovascular disease accounts for a significant proportion of deaths. Size of the left atrium, atrial fibrillation, ischemic heart disease and functional capacity are the factors influencing surgical outcomes. The main purpose of medical therapy is to reduce the afterload. Mortality rate is relatively higher in the patients who have pulmonary hypertension, pulmonary edema, renal failure, hepatic failure, acid and severe symptoms.