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Ann Thorac Surg 1980;29:249-253
© 1980 The Society of Thoracic Surgeons

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Articles

Factors Relating to Late Sudden Death in Patients Having Aortic Valve Replacement

From the Department of Internal Medicine, Division of Cardiology, Department of Thoracic Surgery, and Department of Biostatistics, University of Michigan Medical Center, Ann Arbor, MI

Accepted for publication February 22, 1979.

^* Address reprint requests to Dr. Santinga, Department of Internal Medicine, Division of Cardiology, University of Michigan Medical Center, 1405 E Ann St, Ann Arbor, MI 48109

The preoperative and postoperative characteristics of a group of 16 patients who died unexpectedly and a control group of 52 late survivors with aortic protheses are reviewed. There were no preoperative differences between the groups for duration of congestive heart failure, electrocardiographic findings, cardiothoracic ratio, or hemodynamic findings.

However, on the standard electrocardiogram postoperatively, there were more ventricular arrhythmias in the patients who died suddenly (7 of 16 or 44%) compared with the survivors (5 of 49 or 10%) (p < 0.05). There were more patients with congestive failure in the study group (10 of 16 or 62%) compared with the controls (4 of 52 or 8%) (p < 0.05). Patients exhibiting these findings are at risk of sudden death. Arrhythmia monitoring prior to discharge may also be helpful in selecting patients for antiarrhythmia treatment.

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