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Date Published: 31/10/2024
Online Published: 25/10/2024
Abstract Views: 1
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DOI: https://doi.org/10.47972/vjcts.v48i.1188
Issue
Vol. 48
Section
Research Article
How to Cite
Pham, T. V. C., Ho, D. T., Phan, Q. T., Bui, D. A. V., & Nguyen, H. D. (2024). Evaluation of neurological events following minimally invasive mitral valve surgery. The Vietnam Journal of Cardiovascular and Thoracic Surgery, 48, 19 - 26. https://doi.org/10.47972/vjcts.v48i.1188

Evaluation of neurological events following minimally invasive mitral valve surgery

Tran Viet Chuong Pham, Duc Thang Ho1, , Quang Thuan Phan, Duc An Vinh Bui, Hoang Dinh Nguyen
1 Khoa Phẫu thuật Tim mạch người lớn, Bệnh viện Đại học Y Dược Tp Hồ Chí Minh

Main Article Content

Abstract

Objective: To determine the rate of neurological events in patients undergoing minimally invasive mitral valve surgery and evaluate factors associated with the groups with and without postoperative neurological events.


Subjects and Methods:



  • Inclusion Criteria: Patients undergoing minimally invasive mitral valve surgery at the Cardiac Surgery Department, University Medical Center.

  • Exclusion Criteria: Patients with infective endocarditis, patients requiring ECMO support.

  • Study Design: Retrospective case series study.


Results: A total of 358 patients underwent minimally invasive mitral valve surgery between 2017 and 2022, with an average age of 50.7 years. Male patients accounted for 53.2%, and the surgical risk according to EuroScore II was 1.6%. Neurological complications occurred in 46 patients, representing 12.8%. Among these, delirium was the most common complication, occurring in 42 patients (91.3%), while stroke with sequelae occurred at a lower rate of 2.2%.


The average age of the group with neurological complications was higher than that of the group without complications (53.9 ± 10.8 years vs. 50.2 ± 12.6 years). Additionally, the male proportion in the complication group (63.0%) was higher than in the group without complications (50.6%). The history of stroke in the complication group was 4.3%. The duration of mechanical ventilation and ICU stay was longer in the group with neurological complications, with an average mechanical ventilation time of 36.1 ± 71.3 hours compared to 18.4 ± 24.5 hours in the group without complications. The rate of new-onset atrial fibrillation after surgery was also higher in the complication group (19.6% vs. 10.6%).


Conclusion: Neurological complications after surgery are a significant issue, occurring in 12.8% of patients undergoing minimally invasive mitral valve surgery, with delirium and stroke being the most common. Key risk factors include age, hypertension, and atrial fibrillation.

Article Details

Keywords

neurological complications, cerebral infarction, mitral valve, minimally invasive surgery

References

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