Long-term surgical outcomes after repair of multiple ventricular septal defects in pediatrics
Autor: | Ayman R. Abdelrehim, Ahmed F. Elmahrouk, Azzahra Edrees, Aitizaz Uddin Syed, Ahmed M. Dohain, Ahmed A. Jamjoom, Osman O. Al-Radi, Abdulaziz M. Alshehri, Aisha A. Muthanna, Abdullah A. Alshehri |
---|---|
Rok vydání: | 2021 |
Předmět: |
One-stage repair
Surgical repair medicine.medical_specialty VSD repair age RD1-811 business.industry Multiple ventricular septal defects Staged repair Resection Surgery Young age Lower body Hospital outcomes RC666-701 medicine Diseases of the circulatory (Cardiovascular) system In patient business Hospital stay |
Zdroj: | The Cardiothoracic Surgeon, Vol 29, Iss 1, Pp 1-7 (2021) |
ISSN: | 2662-2203 |
DOI: | 10.1186/s43057-021-00058-z |
Popis: | Background Surgical closure of multiple ventricular septal defects (VSDs) is challenging and associated with a high complication rate. Several factors may affect the outcomes after surgical repair of multiple VSDs. We aimed to report the outcomes after surgical repair of multiple VSDs before and after 1 year and identify the factors affecting the outcomes. We have studied forty-eight patients between 2016 and 2017 who had surgical repair of multiple VSDs. We grouped them according to the age at the time of repair. Study outcomes were hospital complications, prolonged hospital stay, and reoperation. Results There were 18 females (60%) in group 1 and 13 (72.22%) in group 2 (P = 0.39). There were no differences in the operative outcomes between the groups. Prolonged postoperative stay was associated with group 1 (OR 0.23 (0.055–0.96); P = 0.04) and lower body weight (OR 0.76 (0.59–0.97); P = 0.03). Hospital mortality occurred in 2 patients (6.67%) in group 1 and 1 patient (5.56%) in group 2 (P > 0.99). Five patients had reoperations: two for residual VSDs, two for subaortic membrane resection, and one for epicardial pacemaker implantation. All reoperations occurred in group 1 (log-rank P = 0.08). Two patients had transcatheter closure of the residual muscular VSDs; both were in group 2. Conclusions Surgical repair of multiple VSDs was associated with good hospital outcomes. The outcomes were comparable in patients younger or older than 1 year of age. Young age at repair could lead to prolonged postoperative stay and a higher reoperation rate. |
Databáze: | OpenAIRE |
Externí odkaz: |