دورية أكاديمية
أعرض في EDS

Factors affecting the outcomes after bidirectional Glenn shunt: two decades of experience from a tertiary referral center.

التفاصيل البيبلوغرافية
العنوان: Factors affecting the outcomes after bidirectional Glenn shunt: two decades of experience from a tertiary referral center.
المؤلفون: Yousef AA; Division of Pediatric Critical Care, Department of Pediatrics, King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia.; Department of Pediatrics, Faculty of Medicine, Helwan University, Cairo, Egypt., Elmahrouk AF; Division of Cardiac Surgery, Cardiovascular Department, King Faisal Specialist Hospital and Research Center, MBC J-16, P.O. Box:40047, Jeddah, 21499, Saudi Arabia. Ael-Mahrouk@kfshrc.edu.sa.; Cardiothoracic Surgery Department, Tanta University, Tanta, Egypt. Ael-Mahrouk@kfshrc.edu.sa., Hamouda TE; Division of Cardiac Surgery, Cardiovascular Department, King Faisal Specialist Hospital and Research Center, MBC J-16, P.O. Box:40047, Jeddah, 21499, Saudi Arabia.; Cardiothoracic Surgery Department, Benha University, Benha, Egypt., Helal AM; Department of Pediatrics, Pediatric Cardiology Division, Cairo University, Cairo, Egypt.; Pediatric Cardiology Department, King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia., Dohain AM; Department of Pediatrics, Pediatric Cardiology Division, Cairo University, Cairo, Egypt.; Pediatric Cardiology Department, King Abdulaziz University, Jeddah, Saudi Arabia., Alama A; Division of Cardiac Surgery, Cardiovascular Department, King Faisal Specialist Hospital and Research Center, MBC J-16, P.O. Box:40047, Jeddah, 21499, Saudi Arabia., Shihata MS; Division of Cardiac Surgery, Cardiovascular Department, King Faisal Specialist Hospital and Research Center, MBC J-16, P.O. Box:40047, Jeddah, 21499, Saudi Arabia., Al-Radi OO; Division of Cardiac Surgery, Cardiovascular Department, King Faisal Specialist Hospital and Research Center, MBC J-16, P.O. Box:40047, Jeddah, 21499, Saudi Arabia.; Cardiac Surgery Section, Department of Surgery, King Abdulaziz University, Jeddah, Saudi Arabia., Jamjoom AA; Division of Cardiac Surgery, Cardiovascular Department, King Faisal Specialist Hospital and Research Center, MBC J-16, P.O. Box:40047, Jeddah, 21499, Saudi Arabia., Mashali MH; Department of Pediatrics, Pediatric Cardiology Division, Cairo University, Cairo, Egypt.; Pediatric Cardiology Department, King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia.
المصدر: The Egyptian heart journal : (EHJ) : official bulletin of the Egyptian Society of Cardiology [Egypt Heart J] 2023 Jun 28; Vol. 75 (1), pp. 53. Date of Electronic Publication: 2023 Jun 28.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Springer Country of Publication: Germany NLM ID: 9106952 Publication Model: Electronic Cited Medium: Internet ISSN: 2090-911X (Electronic) Linking ISSN: 11102608 NLM ISO Abbreviation: Egypt Heart J Subsets: PubMed not MEDLINE
أسماء مطبوعة: Publication: 2019- : Berlin : Springer
Original Publication: Cairo, Egypt : The Society, [1988-
مستخلص: Background: Despite the improved management of patients with a single ventricle, the long-term outcomes are not optimal. We reported the outcomes of the bidirectional Glenn procedure (BDG) and factors affecting the length of hospital stay, operative mortality, and Nakata index before Fontan completion.
Results: This retrospective study included 259 patients who underwent BDG shunt from 2002 to 2020. The primary study outcomes were operative mortality, duration of hospital stay, and Nakata index before Fontan. Mortality occurred in 10 patients after BDG shunt (3.86%). By univariable logistic regression analysis, postoperative mortality after BDG shunt was associated with high preoperative mean pulmonary artery pressure (OR: 1.06 (95% CI 1.01-1.23); P = 0.02). The median duration of hospital stay after BDG shunt was 12 (9-19) days. Multivariable analysis indicated that Norwood palliation before BDG shunt was significantly associated with prolonged hospital stay (β: 0.53 (95% CI 0.12-0.95), P = 0.01). Fontan completion was performed in 144 patients (50.03%), and the pre-Fontan Nataka index was 173 (130.92-225.34) mm 2 /m 2 . Norwood palliation (β: - 0.61 (95% CI 62.63-20.18), P = 0.003) and preoperative saturation (β: - 2.38 (95% CI - 4.49-0.26), P = 0.03) were inversely associated with pre-Fontan Nakata index in patients who had Fontan completion.
Conclusions: BDG had a low mortality rate. Pulmonary artery pressure, Norwood palliation, cardiopulmonary bypass time, and pre-BDG shunt saturation were key factors associated with post-BDG outcomes in our series.
(© 2023. The Author(s).)
References: Ann Thorac Surg. 2021 Feb;111(2):662-670. (PMID: 32454017)
Heart. 2020 Feb;106(3):233-239. (PMID: 31492699)
Indian J Thorac Cardiovasc Surg. 2018 Oct;34(4):457-467. (PMID: 33060917)
J Thorac Cardiovasc Surg. 2020 Mar;159(3):1040-1048. (PMID: 31924357)
J Cardiothorac Vasc Anesth. 2022 Jun;36(6):1573-1581. (PMID: 35151565)
Interact Cardiovasc Thorac Surg. 2007 Feb;6(1):77-82. (PMID: 17669774)
World J Pediatr Congenit Heart Surg. 2019 Mar;10(2):164-170. (PMID: 30841832)
Eur J Cardiothorac Surg. 2007 Jul;32(1):156-62. (PMID: 17513120)
J Am Coll Cardiol. 1997 May;29(6):1365-70. (PMID: 9137237)
Eur J Cardiothorac Surg. 2008 May;33(5):951; author reply 951-2. (PMID: 18295502)
J Am Coll Cardiol. 2017 Jun 6;69(22):2735-2744. (PMID: 28571639)
J Thorac Cardiovasc Surg. 2009 Jun;137(6):1342-8. (PMID: 19464446)
J Card Surg. 2020 Apr;35(4):845-853. (PMID: 32112668)
J Nippon Med Sch. 2002 Apr;69(2):154-9. (PMID: 12068327)
J Card Surg. 2021 Sep;36(9):3207-3214. (PMID: 34091970)
Circulation. 1999 Nov 9;100(19 Suppl):II151-6. (PMID: 10567295)
Gen Thorac Cardiovasc Surg. 2021 Mar;69(3):451-457. (PMID: 32783183)
J Card Surg. 2021 Jan;36(1):12-20. (PMID: 33032391)
J Thorac Cardiovasc Surg. 2022 May;163(5):1592-1600. (PMID: 35027212)
Asian Cardiovasc Thorac Ann. 2008 Oct;16(5):381-6. (PMID: 18812346)
J Card Surg. 2020 Dec;35(12):3326-3333. (PMID: 33032371)
Kardiol Pol. 2013;71(6):581-7. (PMID: 23797430)
J Thorac Cardiovasc Surg. 1990 Nov;100(5):662-70; discussion 670-1. (PMID: 1700228)
فهرسة مساهمة: Keywords: Bidirectional Glenn shunt; Fontan palliation; Nakata index; Single ventricle
تواريخ الأحداث: Date Created: 20230628 Latest Revision: 20230702
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC10307754
DOI: 10.1186/s43044-023-00381-2
PMID: 37378691
قاعدة البيانات: MEDLINE
الوصف
تدمد:2090-911X
DOI:10.1186/s43044-023-00381-2