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| Format: | Artículo científico |
| Language: | en |
| Published: |
Sociedade Brasileira de Cirurgia Cardiovascular
2019
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| Online Access: | https://www.redalyc.org/articulo.oa?id=398960426013 https://www.redalyc.org/journal/3989/398960426013/ https://www.redalyc.org/journal/3989/398960426013/html/ https://www.redalyc.org/journal/3989/398960426013/398960426013.epub https://www.redalyc.org/journal/3989/398960426013/movil |
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Table of Contents:
- Risk Factors for Major Adverse Events after Surgical Closure of Ventricular Septal Defect in Patients Less than 1 Year of Age: A Single-Center Retrospective Servet Ergün Serhat Bahadır Genç Okan Yildiz Erkut Öztürk Hasan Candaş Kafalı Pelin Ayyıldız Sertaç Haydin Medicina Risk Factors Length of Stay Intensive Care Units Cardiopulmonary Bypass Ventricular Heart Septal Defect Objective: To reveal the risk factors that can lead to a complicated course and an increased morbidity in patients < 1 year old after surgical ventricular septal defect (VSD) closure.Methods: We reviewed a consecutive series of patients who were admitted to our institution for surgical VSD closure who were under one year of age, between 2015 and 2018. Mechanical ventilation (MV) time > 24 hours, intensive care unit (ICU) stay longer than three days, and hospital stay longer than seven days were defined as “prolonged”. Unplanned reoperation, complete heart block requiring a permanent pacemaker implantation, sudden circulatory arrest, and death were considered as significant major adverse events (MAE).Results: VSD closure was performed in 185 patients. The median age was five (1-12) months. There was prolonged MV time in 54 (29.2%) patients. Four patients (2.2%) required permanent pacemaker implantation. Hemodynamically significant residual VSD was observed in six (3.2%) patients. Extracorporeal membrane oxygenation-cardiopulmonary resuscitation was performed in one (0.5%) patient. Small age (< 4 months) (P-value<0.001) and prolonged cardiopulmonary bypass time (P=0.03) were found to delay extubation and to prolong MV time. Low birth weight at the operation was associated with MAE (P=0.03).Conclusion: Higher body weight during operation had a reducing effect on the MAE frequency and shortened the MV duration, ICU stay, and hospital stay. As a conclusion, for patients who are scheduled to undergo VSD closure, body weight should be taken into consideration. 2019 artículo científico 0102-7638 https://www.redalyc.org/articulo.oa?id=398960426013 https://www.redalyc.org/journal/3989/398960426013/ https://www.redalyc.org/journal/3989/398960426013/html/ https://www.redalyc.org/journal/3989/398960426013/398960426013.epub https://www.redalyc.org/journal/3989/398960426013/movil 10.21470/1678-9741-2018-0299 en http://www.redalyc.org/revista.oa?id=3989 Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery application/pdf Sociedade Brasileira de Cirurgia Cardiovascular Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery (Brasil) Num.3 Vol.34