IJCS | Volume 31, Nº5, September / October 2018

481 Oliveira et al. Mortality and survival in aortic arch surgeries Int J Cardiovasc Sci. 2018;31(5)466-482 Original Article Mod/Severe valve insufficiency 1. Mitral: ( ) yes ( ) no ( ) NI 2. Aortic: ( ) yes ( ) no ( ) NI 3. Tricuspid: ( ) yes ( ) no ( ) NI Severe/Mod valve stenosis 1. Mitral: ( ) yes ( ) no ( ) NI 2. Aortic: ( ) yes ( ) no ( ) NI 3. Tricuspid: ( ) yes ( ) no ( ) NI 4. Surgery data Blood transfusion: ( ) yes ( ) no ( ) NI Aortic valvuloplasty: ( ) yes ( ) no ( ) NI Descending aortic endoprosthesis: ( ) yes ( ) no ( ) NI Coronary reimplantation: ( ) yes ( ) no ( ) NI Prosthesis Biologic: ( ) yes ( ) no ( ) NI Number ____________ Mechanical: ( ) yes ( ) no ( ) NI Number ____________ Combined surgery: ( ) yes ( ) no ( ) NI Which one? ____________________________________________ ECC time _______________ (minutes) Clamping time _______________ (minutes) Hypothermia _______________ ( o C) Elective surgery: ( ) yes ( ) no ( ) NI Urgent surgery: ( ) yes ( ) no ( ) NI Emergency surgery: ( ) yes ( ) no ( ) NI Resuscitation (pre anesthetic CRA): ( ) yes ( ) no ( ) NI Intraoperative complication: ( ) yes ( ) no ( ) NI Which one? _____________________________________________ Death in the operating room: ( ) yes ( ) no ( ) NI Reoperation: ( ) yes ( ) no ( ) NI 5. Postoperative data Course: Low cardiac output syndrome (cardiogenic shock): ( ) yes ( ) no ( ) NI Bleeding: ( ) yes ( ) no ( ) NI Cardiac tamponade: ( ) yes ( ) no ( ) NI Intra-aortic balloon: ( ) yes ( ) no ( ) NI Another ventilatory assistance device: ( ) yes ( ) no ( ) NI Ischemia Infarction: ( ) yes ( ) no ( ) NI Angina: ( ) yes ( ) no ( ) NI CRA: ( ) yes ( ) no ( ) NI Mechanical Acute MI: ( ) yes ( ) no ( ) NI IVC: ( ) yes ( ) no ( ) NI Free-wall rupture: ( ) yes ( ) no ( ) NI Respiratory: Mechanical ventilation >24 h: ( ) yes ( ) no ( ) NI