Outcome following surgical closure of secundum atrial septal defect
| Autor: | PG Pohlner, DA Jones, DJ Radford |
|---|---|
| Rok vydání: | 2001 |
| Předmět: |
Male
medicine.medical_specialty genetic structures Heart disease Adolescent Septum secundum behavioral disciplines and activities Pericardial effusion Atrial septal defects Heart Septal Defects Atrial Postoperative Complications mental disorders Medicine Humans cardiovascular diseases Cardiac Surgical Procedures Child Retrospective Studies Heart septal defect business.industry Infant Postpericardiotomy syndrome medicine.disease Surgery Cardiac surgery Treatment Outcome Child Preschool Pediatrics Perinatology and Child Health Female business Complication |
| Zdroj: | Journal of paediatrics and child health. 37(3) |
| ISSN: | 1034-4810 |
| Popis: | To assess the current outcome of surgical closure of secundum atrial septal defects (ASD) in an Australian paediatric population.A retrospective chart review of 87 children, aged 2 months to 15 years, was performed for surgery between August 1995 and March 1999.There were no deaths in the patients studied. Approximately one in four patients (24.1%) experienced complications requiring further management. Complication rates were similar to those published previously. However, one in nine patients (11.5%) required surgical drainage of a pericardial effusion. A total of five of 87 (5.7%) patients developed post-pericardiotomy syndrome (PPS), of whom four required pericardiocentesis. The risk for developing a pericardial effusion requiring drainage or PPS was more than twice in children older than 5 years of age at the time of surgery compared to those aged under 5 years, although there was an insufficient number of subjects in the study to prove this statistically (Odds ratio 2.31).Most patients have an uncomplicated postoperative course following surgical closure of secundum ASD. However, a significant minority (24.1%) do develop complications requiring further management and have a correspondingly longer period of hospitalization. Patients older than 5 years of age were identified as being potentially at greater risk for the development of PPS or a pericardial effusion requiring drainage. Further research needs to be performed to clarify this. |
| Databáze: | OpenAIRE |
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