Effects of chronic obstructive pulmonary disease on morbidity and mortality after mitral valve surgery

Ayten Saraçoğlu; Yasemen Durak Erdinç; Kemal Tolga Saraçoğlu; İbrahim Haluk Kafalı

doi:10.5606/fng.btd.2017.017

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.

Abstract

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.