Abstract
Overall objective: Identify the more important variables that determine the prognosis and survival of patients with cyanotic heart disease who that underwent to pulmonary systemic fistula in San Ignacio Hospital between January 2006 and June 2017.
Methods: The database of the Cardiovascular Surgery service of the San Ignacio Hospital was reviewed from January 2006 to June 2017. From this registry, the information of the identity documents of the patients to be included in the study was obtained, in order to obtain the data of the variables to be studied from the electronic medical record of the San Ignacio Hospital.
We reviewed the clinical histories of pediatric patients with cyanosis cardiopathies who were taken to pulmonary systemic fistula between January 2006 and June 2017.
Results: The indications for the pulmonary systemic fistula were: 11 patients with pulmonary atresia with an integral septum, 10 patients with pulmonary stenosis, 6 patients with pulmonary atresia with VSD, 8 patients with pulmonary valve atresia, 1 extreme Fallot, 1 single ventricle. 51% of the patients were male, the average weight was 3408 gr (DE 1406, minimum weight 1735, maximum 8700), Average age 37.1 days (SD 74.8). A total of 17 Blalock - Taussig fistulas and 20 centrals were made. The average preoperative PH was 7.36 (SD 0.98). The 30 - day mortality was 37% of which 5 cases were Blalock - Taussig type fistulas and 9 central ones, there were no statistically significant differences in the U Mann Whitney test when comparing mortality by presurgical pH or weight.
Conclusions: Congenital cyanotic heart diseases are entities that require urgent treatment and in which definitive repair may not be possible, with a requirement for pulmonary systemic fistula creation in a palliative manner. Although different variables have been identified in the literature as prognostic factors for morbidity and mortality, the majority are non-modifiable such as the type of pathology, the preoperative weight, the diameter of the shunt and the need for preoperative mechanical ventilation.
Methods: The database of the Cardiovascular Surgery service of the San Ignacio Hospital was reviewed from January 2006 to June 2017. From this registry, the information of the identity documents of the patients to be included in the study was obtained, in order to obtain the data of the variables to be studied from the electronic medical record of the San Ignacio Hospital.
We reviewed the clinical histories of pediatric patients with cyanosis cardiopathies who were taken to pulmonary systemic fistula between January 2006 and June 2017.
Results: The indications for the pulmonary systemic fistula were: 11 patients with pulmonary atresia with an integral septum, 10 patients with pulmonary stenosis, 6 patients with pulmonary atresia with VSD, 8 patients with pulmonary valve atresia, 1 extreme Fallot, 1 single ventricle. 51% of the patients were male, the average weight was 3408 gr (DE 1406, minimum weight 1735, maximum 8700), Average age 37.1 days (SD 74.8). A total of 17 Blalock - Taussig fistulas and 20 centrals were made. The average preoperative PH was 7.36 (SD 0.98). The 30 - day mortality was 37% of which 5 cases were Blalock - Taussig type fistulas and 9 central ones, there were no statistically significant differences in the U Mann Whitney test when comparing mortality by presurgical pH or weight.
Conclusions: Congenital cyanotic heart diseases are entities that require urgent treatment and in which definitive repair may not be possible, with a requirement for pulmonary systemic fistula creation in a palliative manner. Although different variables have been identified in the literature as prognostic factors for morbidity and mortality, the majority are non-modifiable such as the type of pathology, the preoperative weight, the diameter of the shunt and the need for preoperative mechanical ventilation.
| Original language | English |
|---|---|
| Pages (from-to) | 9-13 |
| Number of pages | 5 |
| Journal | International Journal of Vascular Surgery and Medicine |
| State | Published - 2019 |