Aortic arch and intracardiac repair without circulatory arrest in neonates and infants
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Date
2014
Journal Title
Journal ISSN
Volume Title
Publisher
Baycinar Medical Publishing
Access Rights
info:eu-repo/semantics/closedAccess
Abstract
Background: In this article, we aimed to report our surgical experiences with selective antegrade cerebral perfusion combined with the aortic arch and intracardiac surgery in neonates and infants. Methods: Medical data of 27 consecutive patients (18 boys, 9 girls; mean age 9.9+1.7 days; range 1 to 26 days) who undergoing aortic arch and intracardiac repair between March 2007 and April 2012 were retrospectively analyzed. The link between perioperative risk factors and 30-day mortality following surgery were investigated. Results: The mean body weight of patients were 3.2±0.9 kg. Major associated cardiac defects were present in 12 and included truncus arteriosus (Vaan Pragh type 4) (n=2), transposition of the great arteries (n=5), double outlet right ventricle with Taussing Bing anomaly (n=2), and aortopulmonary window defect (n=3). Renal insufficiency and dialysis were statistically significantly associated with mortality [Chi square 27 (p=0.000) and 20.66 (p=0.000), respectively]. Conclusion: Aortic arch repair with simultaneous intracardiac surgical repair can be done with selective antegrade cerebral perfusion at a single stage in neonates and infants.
Description
Keywords
Antegrade cerebral perfusion, Aortic arch intracardiac surgery, Neonatal infant
Journal or Series
Turkish Journal of Thoracic and Cardiovascular Surgery
WoS Q Value
Q4
Scopus Q Value
Q3
Volume
22
Issue
3
