|
A.
|
Procedural steps intra-operatively
|
|
A1.
|
Sternotomy
|
|
A2.
|
Opening of the pericardium
|
|
A3.
|
Connection to heart-lung-machine
|
|
A4.
|
Removal of native valve
|
|
A5.
|
Valve-replacement
|
|
Points (max. 5):
|
|
B.
|
Likelihood of success
|
|
B1.
|
50% chance of prolonging the patient’s life
|
|
Points (max. 1):
|
|
C.
|
Procedural steps post-operatively
|
|
C1.
|
Insertion of suction drainage
|
|
C2.
|
Step-down care (intensive, normal, rehab)
|
|
Points (max. 2):
|
|
D.
|
General main complications
|
|
D1.
|
Superficial infection of the incision
|
|
D2.
|
Bleeding
|
|
D3.
|
Cutaneous nerve damage
|
|
D4.
|
Pain
|
|
D5.
|
Wound healing defects
|
|
Points (max. 5):
|
|
E.
|
Specific main complications
|
|
E1.
|
Pneumothorax
|
|
E2.
|
Heart rhythm disturbances
|
|
E3.
|
Myocardial infarction
|
|
E4.
|
Mediastinitis
|
|
E4.
|
Endocarditis
|
|
E5.
|
Pericardial effusion/tamponade
|
|
E6.
|
Ischemic stroke
|
|
Points (max. 7):
|
|
TOTAL POINTS (max. 20):
|
