scholarly journals Open heart surgery in Nigerian children the need for international and regional collaboration: the Balyesa and Enugu experience

2021 ◽  
Vol 6 (2) ◽  
pp. 044-047
Author(s):  
FA Ujunwa ◽  
AS Ujuanbi ◽  
JM Chinawa ◽  
D Alagoa ◽  
B Onwubere
Keyword(s):  
Success Rate ◽  
Congenital Heart ◽  
Heart Surgery ◽  
Heart Diseases ◽  
Heart Defects ◽  
Open Heart Surgery ◽  
Case Fatality ◽  
Open Heart ◽  
Cardiac Intervention ◽  
Regional Collaboration

Background: Children with congenital heart diseases (CHD) often require palliative or definitive surgical heart interventions to restore cardiopulmonary function. Lack of early cardiac intervention contributes to large numbers of potentially preventable deaths and sufferings among children with such conditions. Objectives: The aim of this study is to highlight our experience and the importance of international and regional collaboration in open heart surgery among children with CHD and capacity building of home cardiac teams in Bayelsa and Enugu States. Materials and Methods: In November 2016, a memorandum of understanding (MOU) was signed between the managements of FMC, Yenagoa, Bayelsa State, UNTH, Enugu and an Italian-based NGO- Pobic Open Heart International for collaboration in the area of free open-heart surgery for children with CHDs and training of home cardiac teams from both institutions either in Nigeria or in Italy. Patients for the program were recruited from Bayelsa and Enugu States with referrals from all over the country with combined screening and selection done in UNTH. Selected patients were operated on and funded free of charge by the Italian NGO. Hands-on training of the home cardiac teams and cardiac intervention was done twice yearly in Nigeria. Result: From inception of the program in November, 2016 to May, 2019 a total of 47 children (21 Males, 26 Females; Age range 6 months to 14 yrs) with various types of congenital heart defects have benefitted from the program with 41 surgeries done in UNTH & 6 in Italy (complex pathologies) at no cost to the recipients. Also, home cardiac teams from UNTH and FMC, Yenagoa have gained from on-site capacity training & retraining from the Italian cardiac team both in Nigeria & in Italy. The Success rate was 95.7% (44) and Case Fatality rate was 4.3% (2). Conclusion: There is a great efficacy in early cardiac intervention. This is with respect to a high success rate and minimal Case Fatality seen in this study. This was achieved through Regional and international collaboration.

Complete Heart Block after open Heart Surgery in Children with Congenital Cardiac Diseases Feasibility of more waiting time before PPM administration

2021 ◽  
Vol 4 (11) ◽  
pp. 01-06
Author(s):  
Akbar Molaei
Keyword(s):  
Heart Block ◽  
Congenital Heart ◽  
Heart Surgery ◽  
Complete Heart Block ◽  
Heart Defects ◽  
Open Heart Surgery ◽  
Cardiac Conduction ◽  
Cardiac Diseases ◽  
Open Heart ◽  
Cardiac Disorders

Introduction: Congenital cardiac disorders are the most prevalent congenital disorders which require interventional or surgical treatments. The most common causes of complete heart block (CHB) are degeneration of cardiac conduction system, acute myocardial infarction and congenital cardiac disorders. CHB after congenital heart surgery is of paramount importance which causes post-operation death and heart failure. Application of a pacemaker is a standard treatment for CHB. The purpose of this paper is to study the frequency of early postoperative CHB in patients with congenital cardiac diseases and also the need for temporary (TPM) and permanent (PPM) pacemakers. Materials and methods: This descriptive-analytical and cross-sectional study was conducted on children with congenital heart defects who had undergone open-heart surgery in Tabriz’s Shahid Madani Hospital from 2011 to 2016. Patients with early postoperative CHB were included in the study. Those who had improved on their own and those who needed TPM and PPM were identified and at the end, the frequency of CHB and the need for TPM and PPM were assessed. Results: Of the 2100 operated patients, 109 patients developed early postoperative heart block. The frequency of early CHB after open heart surgery was 5.19%. Of the 109 patients, 69 patients (63.3%) with early postoperative CHB needed TPM, 9 patients needed PPM and 22 patients improved without pacemaker. Conclusion: The prevalence of early CHB in patients operated for congenital cardiac diseases was 5.19%. The need for TPM was high and most of the patients had improved cardiac rhythm with no need for PPM or TPM.

scholarly journals Neuromotor Status in Infants with Congenital Heart Defects Undergoing Open Heart Surgery. • 1739

1997 ◽  
Vol 41 ◽  
pp. 292-292
Author(s):  
Catherine Limperopoulos ◽  
Annette Majnemer ◽  
Michael I. Shevell ◽  
Bernard Rosenblatt ◽  
Charles Rohlicek ◽  
...  
Keyword(s):  
Congenital Heart Defects ◽  
Congenital Heart ◽  
Heart Surgery ◽  
Heart Defects ◽  
Open Heart Surgery ◽  
Open Heart

Dynamics of Factor XIII Levels After Open Heart Surgery for Congenital Heart Defects: Do Cyanotic and Acyanotic Patients Differ?

2014 ◽  
Vol 35 (7) ◽  
pp. 1108-1115 ◽  
Author(s):  
Leo A. Bockeria ◽  
Natalia N. Samsonova ◽  
Ivan A. Yurlov ◽  
Ludmila G. Klimovich ◽  
Elena F. Kozar ◽  
...  
Keyword(s):  
Congenital Heart Defects ◽  
Factor Xiii ◽  
Congenital Heart ◽  
Heart Surgery ◽  
Heart Defects ◽  
Open Heart Surgery ◽  
Open Heart

Neonatal and infant physiology—impact of cardiopulmonary bypass in the developing patient

1993 ◽  
Vol 3 (4) ◽  
pp. 394-406 ◽  
Author(s):  
Richard Lambert Auten
Keyword(s):  
Cardiopulmonary Bypass ◽  
Growth And Development ◽  
Congenital Heart ◽  
Heart Surgery ◽  
Heart Defects ◽  
Open Heart Surgery ◽  
Cellular Growth ◽  
Open Heart ◽  
Homeostatic Regulation ◽  
Older Children

AbstractCardiopulmonary bypass has been extended to the very young patient undergoing operative correction of congenital heart defects. Growth and development of the central nervous, cardiovascular, pulmonary, and renal systems place significant metabolic and nutritional demands on cellular growth and repair. Immature homeostatic regulation and cellular function require modification of the approaches to preservation of organs and cardiovascular support used in older children and adults undergoing open-heart surgery. Aspects of newborn and infant physiology relevant to cardiopulmonary bypass and postoperative care are reviewed. Current approaches and future strategies designed to address the needs of the developing patient who requires cardiopulmonary bypass are discussed.

Population-based study of cognitive outcomes in congenital heart defects

2017 ◽  
Vol 103 (1) ◽  
pp. 49-56 ◽  
Author(s):  
Johanna Calderon ◽  
Marion Willaime ◽  
Nathalie Lelong ◽  
Damien Bonnet ◽  
Lucile Houyel ◽  
...  
Keyword(s):  
Congenital Heart Defects ◽  
Congenital Heart ◽  
Heart Surgery ◽  
Heart Defects ◽  
Open Heart Surgery ◽  
Population Based ◽  
Cognitive Outcomes ◽  
Open Heart ◽  
Population Based Study ◽  
Surgical Group

ObjectiveTo characterise and compare cognitive outcomes in children with operated (open-heart surgery) and non-operated (catheter-based interventions only or no intervention) congenital heart defects (CHD) and to determine associated risk factors.DesignThis prospective population-based study reports outcomes of 3-year-old children with CHD with or without open-heart surgery.Main outcome measuresStandardised cognitive scores (mean scores and proportions below normative values) were assessed with the Kaufman Assessment Battery for Children II. We analysed demographic, perinatal and operative variables as predictors of cognitive outcomes.Results419 children participated (154 with open-heart surgery; 265 without surgery). Global cognitive scores did not differ between the groups. Compared with the non-operated group, children who underwent surgery obtained lower scores in expressive language (p=0.03) and logical reasoning (p=0.05). When compared with test norms, the frequency of global cognitive scores >1 SDs below the expected mean was higher in the surgical group (25% vs 16% in the general population) (p=0.03). A higher-than-expected proportion of children in the non-operated group scored >2 SDs below the expected mean (7% vs 2%) (p=0.05). Being small for gestational age (SGA) significantly increased the risk of cognitive impairment in the surgical group, after adjustments for multiple covariates including maternal education, complexity of the CHD and operative-related variables (adjusted OR=5.9; 95% CI (1.7 to 20.1)).ConclusionsDespite mean scores within the normative range, a high proportion of preschool children with CHD with or without surgery are at early cognitive risk. SGA is a strong predictor of the neurodevelopmental prognosis in CHD.

Infants with Trisomy 18 and Complex Congenital Heart Defects Should Not Undergo Open Heart Surgery

2016 ◽  
Vol 44 (2) ◽  
pp. 286-291 ◽  
Author(s):  
Eric M. Graham
Keyword(s):  
Quality Of Life ◽  
Congenital Heart ◽  
Heart Surgery ◽  
Heart Defects ◽  
Open Heart Surgery ◽  
Trisomy 18 ◽  
Open Heart ◽  
Significant Morbidity ◽  
Surgical Interventions

Aggressive medical and surgical interventions have not been clearly demonstrated to improve survival in neonates with trisomy 18; there are no data that demonstrates improved quality of life for these children after these interventions; and these interventions are clearly associated with significant morbidity, resource allocation, and cost.

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