The treatment of pectus carinatum with the bracing after surgery for congenital heart disease: experience from a single institution

Abstract Purpose:Secondary pectus carinatum (PC) after surgery for congenital heart disease(CHD) has its own clinical characteristics.Conservative treatment of PC with bracing is an attractive alternative to surgical repair.This study was to investigate the effects of the bracing on treating pediatric patients with PC after heart surgery.Methods:We conducted a retrospective study of all patients who had PC after surgery for CHD with median sternotomy from March 2019 to December 2020.Monthly follow-up with anterior–posterior(AP) width measurements.The size of bracing is designed based on the patient’s anterior chest wall.Result:Twenty four patients (3/2019–12/2020) were conducted into this retrospective study in the clinic,and 22 patients(91.66%) achieved excellent correction.The twenty four patients were distributed into three stages(stage 1: treated for 0 month,stage 2:treated for 3 months, stage 3: treated for 6 months).We found statistically significant differences in the AP between stage 2 and stage 1(AP p<0.01),stage 3 and stage 2(AP p<0.01).The main side effects were mild subcutaneous hematoma,petechial bleeding and chest tightness.There was no children complicated with hydropericardium or cardiac tamponade.Conclusion:The bracing has been shown to be a safe and effective approach for the treatment of the pediatric patients with PC after surgery for CHD.

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Prevalence of Acute Kidney Injury in Pediatric Patients with Congenital Heart Disease Following Open Heart Surgery

The Egyptian Journal of Hospital Medicine ◽

10.21608/ejhm.2021.154587 ◽

2021 ◽

Vol 82 (4) ◽

pp. 755-760

Author(s):

Marwa Zakaria ◽

Ali Mohamed Refat ◽

Naglaa Ali Khalifa ◽

Kamal Mohammed Abd El-Hakim

Keyword(s):

Acute Kidney Injury ◽

Congenital Heart Disease ◽

Heart Disease ◽

Congenital Heart ◽

Heart Surgery ◽

Pediatric Patients ◽

Open Heart Surgery ◽

Kidney Injury ◽

Open Heart

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Microbiology of Post-Cardiac Surgery Infections in Children with Congenital Heart Diseases, A Single-Center Experience, Mashhad, Iran

Archives of Pediatric Infectious Diseases ◽

10.5812/pedinfect.115992 ◽

2021 ◽

Vol In Press (In Press) ◽

Author(s):

Behzad Alizadeh ◽

Ghasem Dolatkhah ◽

Hossein Akhavan ◽

Hasan Birjandi ◽

Mohammad Reza Naghibi Sistani ◽

...

Keyword(s):

Congenital Heart Disease ◽

Cardiac Surgery ◽

Heart Disease ◽

Nosocomial Infections ◽

Congenital Heart ◽

Heart Surgery ◽

Pediatric Patients ◽

Heart Diseases ◽

Urinary Catheterization ◽

Post Cardiac Surgery

Background: Children who have undergone cardiac surgeries due to congenital heart disease are prone to various kinds of infections. Objectives: This study was done to investigate the prevalence of nosocomial infections and microbiology of post-cardiac surgery infections in pediatric patients with congenital heart disease (CHD). Methods: In this cross-sectional study, the epidemiology and microbiology of post-cardiac surgery for pediatric patients with CHD at Imam Reza Hospital of Mashhad University of Medical Sciences between 2014 and 2017 were investigated. Demographic and clinical information was recorded, and the findings were analyzed using SPSS 16. Results: Out of 1128 patients with open heart surgery during the four years of the study, 135 patients, including 80 males (60.1%) and 55 females (39.9%) with a mean age of 8.06 ± 3.86 months, were enrolled in the study. The prevalence of infection was 11.96%. The most common isolated bacteria were Acinetobacter (19/135, 14.1%), Pseudomonas spp. (13/135, 9.6%), and Enterobacter (13/135, 9.6%) as Gram-negative ones and Corynebacterium diphtheria (10/135, 7.4%) and Staphylococcus epidermidis (10/135, 7.4%) as Gram-positive types. Candida albicans (14/135, 10.4%) were also the most frequent fungi. The frequency of infection-causing masses did not differ significantly between different cardiac abnormalities (P = 0.831), sex (P = 0.621), age (P = 0.571), and weight (P = 0.786) groups. Also, the duration of hospitalization, intubation, bypass time, and urinary catheterization in positive culture cases were significantly longer than in negative cases. Conclusions: In our study, the most common infections in children who underwent heart surgery were Acinetobacter, C. albicans, Pseudomonas, and Enterobacter. It is suggested to reduce the hospitalization, intubation, bypass, and urinary catheterization time to reduce nosocomial infections in these patients and decrease treatment costs.

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