Outcome following Repair of Sinus Venosus Atrial Septal Defects in Children

Autor: James E. Potts, Margaret L Deagle, Jacques G. LeBlanc, Jennifer L Russell
Rok vydání: 2002
Předmět:
Male
Pulmonary and Respiratory Medicine
medicine.medical_specialty
Time Factors
Vena Cava
Superior
Adolescent
030204 cardiovascular system & hematology
Heart Septal Defects
Atrial
Atrial septal defects
law.invention
03 medical and health sciences
Postoperative Complications
0302 clinical medicine
law
Superior vena cava
Intensive care
Outcome Assessment
Health Care
Cardiopulmonary bypass
Humans
Medicine
Sinus rhythm
cardiovascular diseases
Child
Superior Vena Cava Stenosis
Retrospective Studies
Sinoatrial Node
Sinus venosus
business.industry
Age Factors
Infant
General Medicine
Length of Stay
Sinus venosus atrial septal defect
medicine.disease
Surgery
medicine.anatomical_structure
030228 respiratory system
Child
Preschool
cardiovascular system
Female
Cardiology and Cardiovascular Medicine
business
Follow-Up Studies
Zdroj: Asian Cardiovascular and Thoracic Annals. 10:231-234
ISSN: 1816-5370
0218-4923
DOI: 10.1177/021849230201000309
Popis: The outcome of surgical repair of sinus venosus atrial septal defect was reviewed retrospectively. The operation was performed on 44 children aged 8 to 163 months, between April 1985 and November 1998. Median cardiopulmonary bypass and aortic crossclamp times were 58 minutes (range, 29 to 141 minutes) and 29 minutes (range, 4 to 67 minutes), respectively. Use of blood products decreased from 4.5 units per patient in the first period (1985 to 1989) to 0.6 units in the last period (1995 to 1998). Median intensive care and hospital stays were 2 days (range, 1 to 12 days) and 6 days (range, 4 to 16 days), respectively. There was 1 early death (2.3%). Complications included reexploration for bleeding in 2 patients (4.5%) and for superior vena cava obstruction in 1 (2.3%), and arrhythmias in 3 (6.8%), which required a pacemaker in one. During follow-up of 15 to 176 months, 83.8% of patients were in sinus rhythm. One required angioplasty for superior vena cava stenosis, hemodynamically insignificant residual shunt was found in 3, and mild superior vena cava stenosis in 3. Repair of sinus venosus atrial septal defect carries a low mortality and morbidity, but long-term follow-up is needed to monitor potential sinus node dysfunction and superior vena cava stenosis.
Databáze: OpenAIRE
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