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Cardiothoracic surgery Dept “G. Papanikolaou” vs STS national averages, 30 -d mortality isolated CABG

Cardiothoracic surgery Dept “G. Papanikolaou” vs STS national averages, 30 -d mortality CABG, VALVES, CABG+VALVES

Νοσηρότητα • Acute Kidney Injury: 30/240 (12. 5%) [10 -20%] – – Stage 1: 14/30 (46. 6%) Stage 2: 8/30 (26. 6%) Stage 3: 7/30 (23. 3%) Stage 4: 1/30 (3. 3%) • Renal failure: 8/240 (3. 2%) • Renal Replacement therapy: – 4/8 (50%) – 4/240 (1. 6%) [1 -2%] Kidney Int. 2007 Sep; 72(5): 624 -31. Epub 2007 Jul 11.

Cardiothoracic surgery Dept “G. Papanikolaou” vs STS national averages On-pump isolated CABG, major complications or operative mortality observed rate

Cardiothoracic surgery Dept “G. Papanikolaou” vs STS national averages On-pump isolated CABG Renal failure observed rate

Cardiothoracic surgery Dept “G. Papanikolaou” vs STS averages Perioperative MI 4/240 cardiac operations (1. 7%) 3/156 isolated CABG (1. 9%) 2011 STS data • Elevation of biomarkers (CK or Troponine) to > 5 of the normal during the first 72 h after a CABG plus • i. new Q waves or LBBB or • ii. Angiographically documented or • iii. Imaging evidence of new loss of viable myocardium

Cardiothoracic surgery Dept “G. Papanikolaou” vs STS national averages Reoperation for bleeding • Σύνολο: 12/240 - 5% • Isol. CABG: 3/156 1. 9%

ΣΥΓΓΡΑΦΙΚΗ ΔΡΑΣΤΗΡΙΟΤΗΤΑ ‘Early’ post-cardiotomy chylopericardium and the imaging value of magnetic resonance thoracicductography. Koutsogiannidis C. et al. Heart, Lung and Circulation. 2013 Apr. Isolated chylopericardium is a rare postoperative complication after cardiac surgery. A delay in diagnosis or an inappropriate management can lead to serious consequences. The treatment, which may either be conservative or surgical, is controversial and it depends on the duration and volume of effusion. We report a case of chylopericardium after atrial septal defect repair in a young woman. The patient was treated initially with total parenteral nutrition for ten days. After drainage diminished, low fat diet containing medium chain triglyceride was instituted. Postoperatively, the role of magnetic resonance thoracic ductography was important for the assessment of the treatment strategy. IF 1. 254

Εργασίες σε επικείμενα συνέδρια • Hypothermia provides protects the cortex in hypothermic circulatory arrest: ultrastructural evidence. Koutsogiannidis C. et al. Οral presentation at the 30 th Annual Meeting of the American Association of Clinical Anatomists, hosted by the University of Colorado, Denver, CO, July 9 -13, 2013. • Erythromycin induced neuroprotection during prolonged hypothermic circulatory arrest. Koutsogiannidis C. et al. Poster presentation at the 30 th Annual Meeting of the American Association of Clinical Anatomists, hosted by the University of Colorado, Denver, CO, July 9‐ 13, 2013.

Poster presentation at the 30 th Annual Meeting of the AACA

Εργασίες σε επικείμενα συνέδρια • Pericardial fat is strongly associated with atrial fibrillation after coronary artery bypass graft surgery. Drossos G. et al. Οral presentation at the 27 th European Association For Cardio-Thoracic Surgery, Vienna, Austria, October 5 -9, 2013.

Εργασίες σε επικείμενα συνέδρια • Validation of a nine parameter standard base excess model (Wolf and Deland, 2011) in a cohort of cardiac surgical patients. Agrafiotis M. et al. Οral presentation at the 26 th Annual Congress of the European Society of Intensive Care Medicine, Paris, France, October 5 -9, 2013. • Cardiac surgery in octogenarians: A single center experience. Ampatzidou F. et al. Οral presentation at the 26 th Annual Congress of the European Society of Intensive Care Medicine, Paris, France, October 5 -9, 2013. • Risk factors for non invasive ventilation requirement in postoperative cardiac surgical patients Ampatzidou F. et al. Οral presentation at the 26 th Annual Congress of the European Society of Intensive Care Medicine, Paris, France, October 5 -9, 2013.