scholarly journals Preoperative percutaneous oxygen saturation is a predictor of postoperative adverse events after Ebstein's anomaly reconstruction

2021 ◽  
Vol 36 (3) ◽  
pp. 1012-1017
Author(s):  
Yao Yang ◽  
Wei Zhang ◽  
Yang Liu ◽  
Gang Li ◽  
Han Zhang ◽  
...  
Keyword(s):  
Adverse Events ◽  
Oxygen Saturation ◽  
Ebstein’S Anomaly ◽  
Ebstein's Anomaly

scholarly journals Preoperative percutaneous oxygen saturation is a predictor of postoperative adverse events after Ebstein's anomaly reconstruction

2020 ◽  
Author(s):  
Yao Yang ◽  
Wei Zhang ◽  
Yang Liu ◽  
Gang Li ◽  
Han Zhang ◽  
...  
Keyword(s):  
Risk Factors ◽  
Mechanical Ventilation ◽  
Logistic Regression ◽  
Cardiopulmonary Bypass ◽  
Adverse Events ◽  
Multivariate Logistic Regression Analysis ◽  
Ebstein’S Anomaly ◽  
Multivariate Logistic Regression ◽  
Low Cardiac Output Syndrome ◽  
Ebstein's Anomaly

Background Ebstein’s anomaly (EA) is a kind of congenital heart disease, which is currently widely treated by cone reconstruction. However, prediction of postoperative recovery is still challenging. Methods A retrospective analysis was performed on EA cases undergoing cone reconstruction from January 2010 to January 2016. Univariate and multivariate logistic regression analyses were performed, with postoperative adverse events defined as dependent variable and pre- and intra-operative parameters defined as independent variables. Predictive capacity of preoperative SPO2 and Great Ormond Street (GOS) score was evaluated using areas under the curve of receiver operating characteristic (ROC). Results Preoperative SPO2 was 95.7 ± 5.20%. Cardiopulmonary bypass, aortic cross-clamp, postoperative mechanical ventilation, and hospitalization time were 101.7 ± 28.26 min, 60.9 ± 18.04 min, 16 hours (8, 22), and 8 days (7, 11), respectively. The incidence of total postoperative adverse events including low cardiac output syndrome, mechanical ventilation more than 3 days, postoperative hospitalization more than 2 weeks, postoperative re-intubation, extracorporeal membrane oxygenation assistance, and death was 13.1% (n=13). Low pre-operative SPO2 (P=0.001, OR=0.834), GOS score (P=0.021, OR=0.368), and cardiopulmonary bypass time (P=0.034, OR=1.021) were risk factors for adverse events. Multivariate logistic regression analysis showed that low preoperative SPO2 (P=0.002, OR=0.846) and GOS score (P=0.043, OR=0.577) were independent risk factors for adverse events. The areas of SPO2 and GOS score under the ROC curve were 0.764 and 0.740, respectively. Conclusions Low pre-operative SPO2 and GOS score were predictors of adverse events after cone reconstruction, and SPO2 was more convenient and objective than GOS score.

scholarly journals Commentary: Predictors of Postoperative Adverse Events after Cone Reconstruction for Ebstein’s Anomaly

2021 ◽  
Author(s):  
Evan Rotar ◽  
Irving Kron
Keyword(s):  
Cardiac Surgery ◽  
Adverse Events ◽  
Postoperative Outcomes ◽  
Ebstein’S Anomaly ◽  
Ebstein's Anomaly ◽  
Congenital Cardiac Surgery ◽  
Preoperative Factors

Prediction scores and metrics are being increasingly utilized throughout the fields of cardiothoracic and congenital cardiac surgery to identify areas for perioperative optimization or guide therapeutic intent. Here, we review a novel submission by Yang and colleagues to the Journal of Cardiac Surgery identifying preoperative factors which predict adverse postoperative outcomes from cone reconstruction for Ebstein’s anomaly.

Surgical Outcome in Paediatric Patients with Ebstein's Anomaly: A Multicenter, Long-Term Study

2016 ◽  
Vol 64 (S 02) ◽  
Author(s):  
L. Geerdink ◽  
G. du Marchie Sarvaas ◽  
I. Kuipers ◽  
W. Helbing ◽  
T. Delhaas ◽  
...  
Keyword(s):  
Surgical Outcome ◽  
Ebstein’S Anomaly ◽  
Term Study ◽  
Ebstein's Anomaly ◽  
Long Term Study ◽  
Paediatric Patients

SUCCESSFUL CORRECTION OF EBSTEIN’S ANOMALY CRITICAL FORM COMPLICATED BY THROMBOSIS OF THE RIGHT VENTRICLE IN 10 MONTH-OLD CHILD

2017 ◽  
Vol 96 (1) ◽  
pp. 206-208
Author(s):  
R. R. Movsesyan ◽  
V. A. Bolsunovskiy ◽  
A. V. Bolsunovskiy ◽  
A. L. Tsytko ◽  
D. R. Yamgurov
Keyword(s):  
Right Ventricle ◽  
Ebstein’S Anomaly ◽  
Ebstein's Anomaly ◽  
Critical Form ◽  
The Right
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