OUTCOMES AFTER ONE-STAGE REPAIR OF COARCTATION OF THE AORTA AND COMBINED INTRACARDIAC LESIONS IN INFANTS

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Abstract


Background: The aim of the study was to compare the outcomes of hypothermic circulatory arrest (GCA) and selective cerebral perfusion (SCP). Patients and methods: Nine patients were treated at the Bakoulev Center for Cardiovascular Surgery. All congenital heart diseases were repaired simultaneously. Group 1 (n =4) included infants who were treated using an HCA, and the patients who underwent repair with the use of SCP were in group 2 (n =5). Results: One patient (25%) in group 1 died in the period of thirty days after the repair. Moderate heart failure and respiratory failure occurred postoperatively with no significant difference between two groups. Recoarctation was a frequent (75%) complication after the «end to end» anastomosis creating. One patient (25%) was reoperated on day 3 after the primary repair. Two other patients (50%) were treated by balloon angioplasty. There was relatively high (75%) incidence of a prolonged open sternotomy in group 1. Conclusion: There were similar results in HCA and SCP groups. A tendency for frequent prolonged open sternotomy application after HCA surgery as well as occurrence of the recoarctation after «end to end» anastomosis creating was found.


A. I. Kim

Bakoulev Centre for Cardiovascular Surgery, Moscow

Author for correspondence.
Email: aikim@bakulev.ru

Russian Federation PhD, professor, cardiac surgeon of the Department of Reconstructive Surgery of Newborns and Infants of Clinic for Congenital Heart Diseases of the Bakoulev Center for Cardiovascular Surgery (Bakoulev CCVS)

S. N. Metlin

Bakoulev Centre for Cardiovascular Surgery, Moscow, Russian Federation

Email: snmetlin@bakulev.ru

Russian Federation

MD, junior research scientist of the Department of Reconstructive Surgery of Newborns and Infants of Clinic for Congenital Heart Diseases of the Bakoulev Center for Cardiovascular Surgery (Bakoulev CCVS). Address: 135, Rublevskoe Highway, Moscow, RF; tel.: +7 (495) 414-76-15

N. A. Ermilova

Bakoulev Centre for Cardiovascular Surgery, Moscow, Russian Federation

Email: naermilova@bakulev.ru

Russian Federation

anesthesiologist the Department of Reconstructive Surgery of Newborns and Infants of Clinic for Congenital Heart Diseases of the Bakoulev Center for Cardiovascular Surgery (Bakoulev CCVS). Address: 135, Rublevskoe Highway, Moscow, RF; tel.: +7 (495) 414-75-08

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