Survey Early outcome surgical repaire of coaratation aorta (COA) in neonate and infants and children

Abstract

Aortic coarctation is a common congenital heart disease in infants and children whose complications reduce the patient's life expectancy and quality of life at a young age, even after repair. By recognizing the complications and consequences after surgery, a more appropriate clinical approach can be adopted in choosing the surgical method as well as prevention. Due to the importance of the subject, in this study, the early complications of aortic coarctation surgery in infants, infants and children were investigated.

Methods In this study, which is a retrospective study, one-month-old children up to 67 years old with Native COA in Shahid Madani Hospital who underwent open surgery from 2011 to 2017 will be included in the study. Inclusion criteria: All patients with congenital heart disease aortic coarctation will be one month to 67 years old with heart failure who have been referred to Shahid Madani Hospital in Tabriz. Exclusion criteria will be children with non-cardiac lesions. Finally, the success rate of surgical correction immediately after surgery using echocardiography, the incidence of neurological complications, complications of vascular injury, complications of thromboembolism, systemic hypertension crisis, the need for reoperation Or balloon angioplasty in postoperative follow-up, duration of use of mechanical ventilation, length of stay in, PICU mortality rate will be examined.

Results In general, it was observed in 71.3% of complications. In 15.7%, the neurological complication was seizures. The highest complication was related to hypertension (32.3%) and nerve damage (17.4%) and the lowest complication was related to infection (9.6%). The number of cases under plastic surgery was 19.1% (22 cases) due to stenosis and the need for reoperation was not reported in any of them. Mortality rate among children was 10.4% (12 cases), and was observed in children less than 18 months. The mean gradient of one day after, 2 weeks after and 3 months after surgery was significantly lower than before surgery. Also, the retention rate of aortic coarctation one day after, 2 weeks after and 3 months after surgery was 34.8%, 33% and 22.6%, respectively.