Zhang Kai,Deng Xicheng,Luo Jinwen,et al.Analysis of the effect of one-stage surgical correction in 27 neonates with aortic constriction and ventricular septal defect[J].Journal of Clinical Pediatric Surgery,,19():69-73.[doi:10.3969/j.issn.1671-6353.2020.01.014]
Analysis of the effect of one-stage surgical correction in 27 neonates with aortic constriction and ventricular septal defect
- Keywords:
- Aortic Coarctation; Heart Septal Defects; Ventricular; Surgical Procedures; Operative; Treatment Outcome; Infant Newborn
- CLC:
- R725.4;R543.1
- Abstract:
- Objective To investigate the effect of one-stage surgical correction of neonatal aortic coarctation associated with ventricular septal defect.Methods A retrospective analysis was conducted,in which the clinical data of neonatal aortic coarctation associated with ventricular septal defect treated at Hunan Children’s Hospital from January 2015 to December 2018.All patients underwent coarctation correction and ventricular septal defect repair.To eliminate other complex cardiac anomalies,the perioperative management had been taken,a total of 27 cases of newborn were included in the study,age range (4-28)d,average (20.1+6.9) d.Body weight range (2.7-4.5)kg,average (3.6±0.5)kg.Results There were 11 cases of postoperative delayed sternal closure,6 cases of postoperative hemorrhage,2 cases of acute renal failure,1 case with chylothorax,2 cases of pneumothorax,1 case of pleural effusion,2 cases of arrhythmia,1 cases of high blood pressure,3 cases of reintubation,1 death of severe low cardiac output syndrome.The rest of the 26 patients had been cured and discharged with postoperative fine management,and followed-up for 3-48 months.There was 1 case of anastomotic restenosis operation and the rest of the children were satisfied with the re-examination results.Conclusion The outcome of one-stage surgical correction of neonatal aortic coarctation associated with ventricular septal defect is satisfactory,but the progressive elevation of lactic acid before operation will affect postoperative outcome,and fine management of perioperative period is very important to improve the success rate of operation.
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Memo
收稿日期:2019-08-03。
基金项目:湖南省科技重大专项（编号：2019SK1015）
通讯作者:黄鹏,Email:2027576@qq.com