Neonatal congenital heart surgery: contemporary outcomes and risk profile.

Autor: Elassal AA; Cardiac Surgery Unit, Department of Surgery, King Abdulaziz University, Jeddah, 21589, Saudi Arabia. samalassal1434@gmail.com.; Cardiothoracic Surgery Department, Zagazig University, Zagazig, Egypt. samalassal1434@gmail.com., Al-Radi OO; Cardiac Surgery Unit, Department of Surgery, King Abdulaziz University, Jeddah, 21589, Saudi Arabia., Debis RS; Cardiac Surgery Unit, Department of Surgery, King Abdulaziz University, Jeddah, 21589, Saudi Arabia.; Cardiothoracic Surgery Department, Al-Azhar University, Cairo, Egypt., Zaher ZF; Department of Pediatric Cardiology, King Abdulaziz University, Jeddah, Saudi Arabia., Abdelmohsen GA; Department of Pediatric Cardiology, King Abdulaziz University, Jeddah, Saudi Arabia.; Pediatric Cardiology Division, Department of Pediatrics, Cairo University, Cairo, Egypt., Faden MS; Department of Anesthesia and Critical Care, King Abdulaziz University, Jeddah, Saudi Arabia., Noaman NA; Department of Anesthesia and Critical Care, King Abdulaziz University, Jeddah, Saudi Arabia., Elakaby AR; Pediatrics Department, Faculty of Medicine (Boys), Al-Azhar University, Cairo, Egypt., Abdelmotaleb ME; Pediatric Cardiac Intensive Care Unit, King Abdulaziz University, Jeddah, Saudi Arabia., Abdulgawad AM; Pediatric Cardiac Intensive Care Unit, King Abdulaziz University, Jeddah, Saudi Arabia., Elhudairy MS; Pediatric Cardiac Intensive Care Unit, King Abdulaziz University, Jeddah, Saudi Arabia., Jabbad AH; Sixth Grade, Faculty of Human Medicine, King Abdulaziz University, Jeddah, Saudi Arabia., Ismail AA; Department of Anesthesia and Pain Management, Faculty of Medicine, Cairo University, Cairo, Egypt., Aljohani NB; Cardiac Surgery Unit, Patient Coordination Unit, King Abdulaziz University, Jeddah, Saudi Arabia., Alghamdi AM; Cardiac Surgery Unit, Patient Coordination Unit, King Abdulaziz University, Jeddah, Saudi Arabia., Dohain AM; Department of Pediatric Cardiology, King Abdulaziz University, Jeddah, Saudi Arabia.; Pediatric Cardiology Division, Department of Pediatrics, Cairo University, Cairo, Egypt.
Jazyk: angličtina
Zdroj: Journal of cardiothoracic surgery [J Cardiothorac Surg] 2022 Apr 20; Vol. 17 (1), pp. 80. Date of Electronic Publication: 2022 Apr 20.
DOI: 10.1186/s13019-022-01830-w
Abstrakt: Objective: Many studies still dispute the identification of independent risk factors that influence outcome after neonatal cardiac surgery. We present our study to announce the contemporary outcomes and risk profile of neonatal cardiac surgery at our institute.
Methods: We designed a retrospective study of neonatal patients who underwent surgery for congenital heart diseases between June 2011 and April 2020. Demographic, operative, and postoperative data were collected from medical records and surgical databases. The primary outcome was the operative mortality (in-hospital death) and secondary outcomes included hospital length of stay, intensive care unit stay, duration of mechanical ventilation.
Results: In total, 1155 cardiac surgeries in children were identified; of these, 136 (11.8%) were performed in neonates. Arterial switch operations (48 cases) were the most frequent procedures. Postoperatively, 11 (8.1%) patients required extracorporeal membrane oxygenation, and 4 (2.9%) patients had complete heart block. Postoperative in-hospital mortality was 11%. The median postoperative duration of mechanical ventilation, intensive care unit stay, and hospital length of stay were 6, 18, and 24 days, respectively.
Conclusion: The early outcomes of neonatal cardiac surgery are encouraging. The requirement of postoperative extracorporeal membrane oxygenation support, postoperative intracranial hemorrhage, and acute kidney were identified as independent risk factors of mortality following surgery for congenital heart defects in neonates.
(© 2022. The Author(s).)
Databáze: MEDLINE
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