Abstract
ABSTRACT 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. Keywords : valvular heart disease, malnutrition, perioperative assessmentCorrespondence : dr.dianparamita@yahoo.com
Highlights
Published : 25st July 2021 Keywords: TrAauBmSaTtiRc AsCevTere brain injury is a fatal injury, with a mortality rate of up to 50%
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Traumatic severe brain injury is a fatal injury, with a Submitted : Januari 2019 mortality rate of up to 50%
Summary
Published : 25st July 2021 Keywords: TrAauBmSaTtiRc AsCevTere brain injury is a fatal injury, with a mortality rate of up to 50%. 1) RAeirsliadnegngt aofUAnniveesrtshietysi.ology and Intensive Care of RSUD Dr Soetomo, Medical Faculty of Valvular heart disease, malnutrition, pCeorriorepseproatnivdeenacsese: ssment yud180987@yahoo.com *Correspondence: ofbea sbeavserde obnraainn iinnjduirvyidisuadliarbisekte-bseinnesfiiptidaunsa.lyTshise.reOanrceenao depfaintiietnivteisdactoansoindetrheed iancciadnednicdeateoffodriacbaertdeisacinssuiprgideurys, ian pactoiemnptsrehweinthsivtreaupmataietinct seevvaelureatibornaionf imnjeudryicaolfcIonnddoitnieosnisa soanfdar. Diabetes insipidus in cases of brain injury requires complicated treatment.
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