scholarly journals Incidence of Postoperative Chylothorax Following Congenital Heart Surgery in Pediatric Patients: A Single-Center Experience

2020 ◽  
Vol 23 (4) ◽  
pp. E430-E434
Author(s):  
Sung Kwang Lee ◽  
Kwang Ho Choi
Keyword(s):  
Surgical Management ◽  
Medical Records ◽  
Congenital Heart ◽  
Heart Surgery ◽  
Vascular Ring ◽  
Congenital Heart Surgery ◽  
Single Center Experience ◽  
Management Group ◽  
Heart Repair ◽  
Substantial Morbidity

Background: Although postoperative chylothorax following congenital heart surgery occurs rarely, it is associated with substantial morbidity and mortality. The incidence of postoperative chylothorax has been reported as 2% to 5%. Therefore, we aimed to evaluate the incidence of postoperative chylothorax at our center and compared our results with those of other studies. Methods: Between January 2009 and December 2018, there were 2,515 congenital heart repair surgeries performed at our center. Thirty-six patients with postoperative chylothorax were enrolled in this study, and their medical records retrospectively were reviewed. We calculated the overall and surgery-specific incidences. We compared the data of the medical management group with those of the surgical management group. Results: The overall incidence of postoperative chylothorax was 1.4%. The incidence was highest for patients who underwent vascular ring repair (3/32). Moreover, the incidence was higher for single ventricle-related procedure than bi-ventricle-related procedures (5.6% versus 1.0%, P < .0001). Chylothorax was predominantly found on the left side (20/36). Among these cases, six patients died; three of these six were in the surgical management group. Conclusions: The postoperative chylothorax incidence at our center was comparable to those of other centers. However, a reasonable protocol for postoperative chylothorax management to improve outcomes is necessary.

scholarly journals Single center experience on dosing and adverse events of recombinant factor seven use for bleeding after congenital heart surgery

2015 ◽  
Vol 27 (1) ◽  
pp. 18-22 ◽  
Author(s):  
Mustafa Kurkluoglu ◽  
Alyson M. Engle ◽  
John P. Costello ◽  
Narutoshi Hibino ◽  
David Zurakowski ◽  
...  
Keyword(s):  
Adverse Events ◽  
Congenital Heart ◽  
Heart Surgery ◽  
Congenital Heart Surgery ◽  
Single Center ◽  
Single Center Experience

scholarly journals Cardiac catheterization addressing early post-operative complications in congenital heart surgery—a single-center experience

2020 ◽  
Vol 72 (1) ◽  
Author(s):  
Saud Bahaidarah ◽  
Jameel Al-Ata ◽  
Gaser Abdelmohsen ◽  
Naif Alkhushi ◽  
Mohamed Abdelsalam ◽  
...  
Keyword(s):  
Success Rate ◽  
Cardiac Catheterization ◽  
Congenital Heart ◽  
Interventional Procedures ◽  
Heart Surgery ◽  
Congenital Heart Surgery ◽  
Ecmo Support ◽  
Single Center Experience ◽  
Post Operative Period ◽  
Inotropic Score

Abstract Background Cardiac catheterization after congenital heart surgery may play an important role in the diagnosis and management of patients with a complicated or unusual post-operative course. The main objective of this study was to evaluate the safety, efficacy, and outcome of cardiac catheterization performed in the early post-operative period following congenital heart surgery. All patients who underwent cardiac catheterization after congenital heart surgery during the same admission of cardiac surgery from November 2015 to May 2018 were included in the study. Results Thirty procedures were performed for 27 patients (20 interventional and 10 diagnostic). The median age of the patients was 15 months (15 days to 20 years), median weight was 8.2 kg (3.4 to 53 kg), and median time from surgery was 3 days (0–32 days). Eleven procedures were performed for 11 patients on extracorporeal membrane oxygenation (ECMO) support. The main indications for catheterization included the inability to wean from ECMO (10 procedures) and cyanosis (10 procedures). Interventional procedures included angioplasty using stents (10 procedures, success rate of 90%), angioplasty using only balloons (2 procedures, success rate of 50%), and occlusion for residual shunts (8 procedures, success rate of 100%). No mortality was recorded during any procedure. Vasoactive–inotropic score had significantly decreased 48 h after catheterization when compared to pre-catheterization scores (p = 0.0001). Moreover, 72% of patients connected to ECMO support were successfully weaned from ECMO after catheterization. Procedural complications were recorded in 3 interventional procedures. Survival to hospital discharge was 55.5% and overall survival was 52%. Patients on ECMO support had a higher mortality than other patients. Conclusion Cardiac catheterization can be performed safely in the early post-operative period, and it could improve the outcome of the patient (depending on the complexity of the cardiac lesions involved).

Practice Patterns in Postoperative Echocardiographic Surveillance after Congenital Heart Surgery in Children: A Single Center Experience

2017 ◽  
Vol 180 ◽  
pp. 87-91.e1 ◽  
Author(s):  
Alisa Arunamata ◽  
David M. Axelrod ◽  
Alaina K. Kipps ◽  
Doff B. McElhinney ◽  
Andrew Y. Shin ◽  
...  
Keyword(s):  
Congenital Heart ◽  
Heart Surgery ◽  
Practice Patterns ◽  
Congenital Heart Surgery ◽  
Single Center ◽  
Single Center Experience
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