Successful Triple Valve Surgery in an Undernourished Patient: What to Prepare?
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Vol. 5 No. 2 (2021)
October 7, 2020
July 24, 2021
Abstract
ABSTRACT
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Valvular heart disease accountsfor 10% to 20% of all cardiac surgical procedures in the United States. The decision to intervene, as well as the type of intervention for a patient with severe valvular heart disease, should be based on an individual risk-benefit analysis. Once a patient is considered a candidate for cardiac surgery, a comprehensive patient evaluation of medical conditions and comorbidities helps improve operative outcomes and minimize the mortality rate. Patients with severe valvular heart disease with chronic heart failure at times, progressing to malnutrition. Patients undergoing cardiac surgery experience a systemic inflammatory response, which contributes to acute organ injury leading to a higher incidence of comorbidities and worse malnutrition. Therefore, preoperative risk and nutritional assessment are critical in performing safe cardiac surgical procedures. We report a case of a malnourished 17-year-old man with multiple valvular heart disease with optimal preparation, including good nutritional status leading to good outcome of complex cardiac surgery even in the high risk patients.
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Keywords            : valvular heart disease, malnutrition, perioperative assessment
Correspondence  : dr.dianparamita@yahoo.com
References
Brinkley, D. M., & Gelfand, E. V. (2013). Valvular heart disease: Classic teaching and emerging paradigms. American Journal of Medicine, 126(12), 1035–1042. https://doi.org/10.1016/j.amjmed.2013.05.022
Chermesh, I., Hajos, J., Mashiach, T., Bozhko, M., Shani, L., Nir, R. R., & Bolotin, G. (2014). Malnutrition in cardiac surgery: Food for thought. European Journal of Preventive Cardiology, 21(4), 475–483. https://doi.org/10.1177/2047487312452969
Falk, V., Baumgartner, H., Bax, J. J., De Bonis, M., Hamm, C., Holm, P. J., … Zamorano, J. L. (2017). 2017 ESC/EACTS Guidelines for the management of valvular heart disease. In European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery (Vol. 52). https://doi.org/10.1093/ejcts/ezx324
Gonçalves, L. de B., Jesus, N. M. T. de, Gonçalves, M. de B., Deiró, T. C. B. de J., & Dias, L. C. G. (2016). Preoperative Nutritional Status and Clinical Complications in the Postoperative Period of Cardiac Surgeries. Brazilian Journal of Cardiovascular Surgery, 31(5), 371–380. https://doi.org/10.5935/1678-9741.20160077
Hill, A., Nesterova, E., Lomivorotov, V., Efremov, S., Goetzenich, A., Benstoem, C., … Stoppe, C. (2018). Current evidence about nutrition support in cardiac surgery patients—what do we know? Nutrients, 10(5). https://doi.org/10.3390/nu10050597
Lomivorotov, V. V., Efremov, S. M., Boboshko, V. A., Nikolaev, D. A., Vedernikov, P. E., Deryagin, M. N., … Karaskov, A. M. (2013). Prognostic value of nutritional screening tools for patients scheduled for cardiac surgery. Interactive Cardiovascular and Thoracic Surgery, 16(5), 612–618. https://doi.org/10.1093/icvts/ivs549
Maganti, K., Rigolin, V. H., Sarano, M. E., & Bonow, R. O. (2010). Valvular heart disease: Diagnosis and management. Mayo Clinic Proceedings, 85(5), 483–500. https://doi.org/10.4065/mcp.2009.0706
Manjunath, C. N., Srinivas, P., Ravindranath, K. S., & Dhanalakshmi, C. (2014). Incidence and patterns of valvular heart disease in a tertiary care high-volume cardiac center: A single center experience. Indian Heart Journal, 66(3), 320–326. https://doi.org/10.1016/j.ihj.2014.03.010
Moore, M., Chen, J., Mallow, P. J., & Rizzo, J. A. (2016). The direct health-care burden of valvular heart disease: Evidence from US national survey data. ClinicoEconomics and Outcomes Research, 8, 613–627. https://doi.org/10.2147/CEOR.S112691
Okoshi, M. P., Capalbo, R. V., Romeiro, F. G., & Okoshi, K. (2016). Cardiac Cachexia: Perspectives for Prevention and Treatment. Arquivos Brasileiros de Cardiologia, 74–80. https://doi.org/10.5935/abc.20160142
Paula Magalhães Monteiro Rua Raul Pompéia, F., Paula Magalhães Monteiro, F., Leite de Araujo, T., VenÃcios de Oliveira Lopes, M., Bruno Resende Chaves, D., Amorim Beltrão, B., & Gabrielle de Sousa Costa, A. (2012). Nutritional status of children with congenital heart disease 1 Estado nutricional de crianças com cardiopatias congênitas Estado nutricional de niños con cardiopatÃas congénitas. 20(6), 1024–1032. https://doi.org/10.1590/S0104-11692012000600003
Rahman, A., Jafry, S., Jeejeebhoy, K., Nagpal, A. D., Pisani, B., & Agarwala, R. (2014). Malnutrition and Cachexia in Heart Failure. Journal of Parenteral and Enteral Nutrition, 40(4), 475–486. https://doi.org/10.1177/0148607114566854
RingaitienÄ—, D., GineitytÄ—, D., Vicka, V., Žvirblis, T., Å ipylaitÄ—, J., Irnius, A., & IvaÅ¡keviÄius, J. (2016). Preoperative risk factors of malnutrition for cardiac surgery patients. Acta Medica Lituanica, 23(2), 99–109. https://doi.org/10.6001/actamedica.v23i2.3326
Robert M. Bojar. (2011). Manual of Perioperative Care in Cardiac and Thoracic Surgery (Fifth Edition). In Critical Care Medicine (5th ed., Vol. 23). https://doi.org/10.1097/00003246-199504000-00050
Shu, C., Chen, S., Qin, T., Fu, Z., Sun, T., Xie, M., … Yin, P. (2016). Prevalence and correlates of valvular heart diseases in the elderly population in Hubei, China. Scientific Reports, 6(June), 1–7. https://doi.org/10.1038/srep27253
Soesanto, A. M. (2012). Penyakit Jantung Katup di Indonesia : masalah yang hampir terlupakan. Jurnal Kardiologi Indonesia, 33(4), 205–208. https://doi.org/10.1590/0004-2730000003363
Stoppe, C., Goetzenich, A., Whitman, G., Ohkuma, R., Brown, T., Hatzakorzian, R., … Heyland, D. K. (2017). Role of nutrition support in adult cardiac surgery: A consensus statement from an International Multidisciplinary Expert Group on Nutrition in Cardiac Surgery. Critical Care, 21(1), 1–16. https://doi.org/10.1186/s13054-017-1690-5
Authors
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