دورية أكاديمية
The outcomes of bidirectional Glenn before and after 4 months of age: A comparative study.
| العنوان: | The outcomes of bidirectional Glenn before and after 4 months of age: A comparative study. |
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| المؤلفون: | Dohain AM; Department of Pediatrics, Pediatric Cardiology Division, King Abdulaziz University, Jeddah, Saudi Arabia.; Department of Pediatrics, Pediatric Cardiology Division, Cairo University, Cairo, Egypt., Ismail MF; Cardiovascular Department, Division of Cardiac Surgery, King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia.; Cardiothoracic Surgery Department, Mansoura University, Mansoura, Egypt., Elmahrouk AF; Cardiovascular Department, Division of Cardiac Surgery, King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia.; Cardiothoracic Surgery Department, Tanta University, Tanta, Egypt., Hamouda TE; Cardiovascular Department, Division of Cardiac Surgery, King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia.; Cardiothoracic Surgery Department, Benha University, Benha, Egypt., Arafat AA; Cardiothoracic Surgery Department, Tanta University, Tanta, Egypt., Helal A; Department of Pediatrics, Pediatric Cardiology Division, Cairo University, Cairo, Egypt.; Pediatric Cardiology Department, King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia., Edrees A; Cardiovascular Department, Division of Cardiac Surgery, King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia., Alamri RM; Department of Surgery, Cardiac Surgery Division, King Abdulaziz University, Jeddah, Saudi Arabia., Al-Mojaddidi AMA; Department of Pediatrics, Pediatric Cardiology Division, King Abdulaziz University, Jeddah, Saudi Arabia., Abdelmotaleb ME; Department of Pediatrics, Pediatric Cardiology Division, King Abdulaziz University, Jeddah, Saudi Arabia., Elassal AA; Department of Surgery, Cardiac Surgery Division, King Abdulaziz University, Jeddah, Saudi Arabia.; Department of Cardiothoracic Surgery, Zagazig University, Zagazig, Egypt., Al-Radi OO; Cardiovascular Department, Division of Cardiac Surgery, King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia.; Department of Surgery, Cardiac Surgery Division, King Abdulaziz University, Jeddah, Saudi Arabia., Jamjoom AA; Cardiovascular Department, Division of Cardiac Surgery, King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia. |
| المصدر: | Journal of cardiac surgery [J Card Surg] 2020 Dec; Vol. 35 (12), pp. 3326-3333. Date of Electronic Publication: 2020 Oct 08. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Wiley-Blackwell Country of Publication: United States NLM ID: 8908809 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1540-8191 (Electronic) Linking ISSN: 08860440 NLM ISO Abbreviation: J Card Surg Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Hoboken, NJ : Wiley-Blackwell Original Publication: Mount Kisco, N.Y. : Futura Pub. Co., Inc., [c1986- |
| مواضيع طبية MeSH: | Fontan Procedure* , Heart Defects, Congenital*/surgery, Cardiac Catheterization ; Echocardiography ; Humans ; Infant ; Retrospective Studies ; Treatment Outcome |
| مستخلص: | Objective: We aim to present our experience with the bidirectional Glenn (BDG) in patients less than 4 months of age and to compare their outcomes with the patients who underwent BDG after the age of 4 months. Methods: A retrospective review of data was performed for patients who underwent the BDG procedure from 2002 to 2018 at our institutions. We reviewed the patients' demographics, echocardiographic findings, cardiac catheterization data, operative details, postoperative data, and outcome variables. Results: The study was conducted on 213 patients. At the time of the BDG operation, 32 patients were younger than 4 months (younger group) and 181 patients were older than 4 months (older group). The preoperative mean pulmonary artery pressure was significantly higher in the younger group (p = .035) but there were no significant differences between both groups in Qp/Qs, ventricular end-diastolic pressure, indexed pulmonary vascular resistance, and preoperative oxygen saturation. However, the initial postoperative oxygen saturation of the younger group was lower than the older group (p = .007). The duration of mechanical ventilation, duration of pleural drainage, ICU stay, and hospital stay after BDG were significantly longer in the younger group compared to the older group. The early mortality was higher in the younger group, but this difference did not reach statistical significance (p = .283). Conclusion: Performing BDG procedure in infants less than 4 months of age is safe, with favorable outcomes. Early BDG is associated with a less-smooth postoperative course without a significant increase in early or late mortality. (© 2020 Wiley Periodicals LLC.) |
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| معلومات مُعتمدة: | DF-814-140-1441 Deanship of Scientific Research (DSR), King Abdulaziz University, Jeddah |
| فهرسة مساهمة: | Keywords: bidirectional Glenn; early BDG; outcome; young |
| تواريخ الأحداث: | Date Created: 20201008 Date Completed: 20210514 Latest Revision: 20210514 |
| رمز التحديث: | 20221213 |
| DOI: | 10.1111/jocs.15055 |
| PMID: | 33032371 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 1540-8191 |
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| DOI: | 10.1111/jocs.15055 |