Early Outcomes of Repeat Cardiac Surgery at a Newly Established Cardiac Center in a Developing Country

Abstract

Objective: The primary objective of this study is to evaluate the early clinical outcomes of repeat cardiac surgery performed at a newly established cardiac center in a developing country.

Study Design: This is prospective observational cohort study setting: This study was performed between January 2021 and July 2024 at cardiac surgery department of Peshawar Institute of Cardiology. Methods: A total of 25 consecutive patients aged 18 years or older who had any previous cardiac surgery with and without the use of cardiopulmonary bypass were included. Elective, urgent, emergent, and salvage cases were all there. Patients who had incomplete records were excluded. Our study utilized SPSS (Statistical Program of Social Science) version 20 for analysis of our dataset

Results: The average cardiopulmonary bypass (CPB) time was 193.48 minutes (±72.8), while the average duration of aortic clamp time was 136.20 minutes (±73.6). Regarding complications, 16% of patients (n=4) required re-intubation, 12% (n=3) needed re-exploration, 16% (n=4) experienced renal failure, and 4% (n=1) suffered a stroke. Additionally, 16% of patients (n=4) were readmitted, and 4% (n=1) died within 30 days following surgery.

Conclusion: This study showed that new cardiac centers are safe for commencing complex cases like repeat cardiac surgeries with comparable results to other established centers.