Aortic arch and intracardiac repair without circulatory arrest in neonates and infants
Turkish Journal of Thoracic and Cardiovascular Surgery, vol.22, no.3, pp.502-508, 2014 (SCI-Expanded, Scopus, TRDizin)
- Publication Type: Article / Article
- Volume: 22 Issue: 3
- Publication Date: 2014
- Doi Number: 10.5606/tgkdc.dergisi.2014.8542
- Journal Name: Turkish Journal of Thoracic and Cardiovascular Surgery
- Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, TR DİZİN (ULAKBİM)
- Page Numbers: pp.502-508
- Keywords: Antegrade cerebral perfusion, aortic arch intracardiac surgery, neonatal infant
- İstanbul Ticaret University Affiliated: Yes
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.