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Complications After Surgical Repair of Congenital Heart Disease in Infants. An Experience From Tertiary Care Center.

Authors :
Javed F
Aleysae NA
Al-Mahbosh AY
Zubani AA
Atash AM
Salem HB
Abdallah M
Alkhatib O
Abu-Adas A
Hrays MA
Alqarni NA
Felemban A
Alsaedi SA
Jamjoom AA
Source :
Journal of the Saudi Heart Association [J Saudi Heart Assoc] 2021 Oct 15; Vol. 33 (4), pp. 271-278. Date of Electronic Publication: 2021 Oct 15 (Print Publication: 2021).
Publication Year :
2021

Abstract

Objectives: This study aimed to describe the incidence and spectrum of postoperative complications in infants who underwent their first cardiac surgery for the repair of congenital heart diseases.<br />Methods: This is a single-center retrospective study. Data of infants admitted to King Faisal Specialist Hospital & Research Center; Jeddah; Saudi Arabia, from January 2015 to December 2019 who underwent the first cardiac procedure for congenital heart disease at an age of less than 3 months, were analyzed. The primary outcome is the prevalence and spectrum of postoperative complications during hospitalization. Data were analyzed by using descriptive and analytical statistics using SAS software version 9.4.<br />Results: Data of 130 procedures were analyzed. The most frequent procedure performed was the Norwood procedure (31.5%), aortic coarctation repair (13.8%), arterial switch operation (13%), and Blalock-Taussig and central shunts (10%). The overall postprocedural complications were reported in 96 (73.8%) of the procedures. The most frequent complications were prolonged postoperative mechanical ventilation (27%), pleural effusion (21%), excessive bleeding (19%), cardiac arrest (18%), and systemic infections (18%).<br />Conclusion: Cardiac surgery for congenital heart disease in young infants has a substantial risk for postoperative complications. The high incidence of these complications in these cases makes necessary attention to prove the outcomes in the cardiac centers.<br />Competing Interests: Conflict of interest All authors declare no conflict of interest and no personal circumstances that may be inappropriately influencing the representation or interpretation of research results.<br /> (© 2021 Saudi Heart Association.)

Details

Language :
English
ISSN :
1016-7315
Volume :
33
Issue :
4
Database :
MEDLINE
Journal :
Journal of the Saudi Heart Association
Publication Type :
Academic Journal
Accession number :
35083116
Full Text :
https://doi.org/10.37616/2212-5043.1267