scholarly journals Airway Bleeding after Cardiac Surgery for Cyanotic Congenital Heart Disease

1995 ◽  
Vol 2 (2) ◽  
pp. 47-51
Author(s):  
Satoshi Shibuta ◽  
Yuji Fujino ◽  
Shigekazu Yokoyama ◽  
Motomu Shimaoka ◽  
Sonoko Nakano ◽  
...  
Keyword(s):  
Congenital Heart Disease ◽  
Cardiac Surgery ◽  
Heart Disease ◽  
Congenital Heart ◽  
Cyanotic Congenital Heart Disease

Education of children with cyanotic congenital heart disease after neonatal cardiac surgery

2020 ◽  
Author(s):  
Constanze Pfitzer ◽  
Aleksandra Buchdunger ◽  
Paul C. Helm ◽  
Maximilian J. Blickle ◽  
Lisa-Maria Rosenthal ◽  
...  
Keyword(s):  
Congenital Heart Disease ◽  
Cardiac Surgery ◽  
Heart Disease ◽  
Congenital Heart ◽  
Cyanotic Congenital Heart Disease ◽  
Neonatal Cardiac Surgery

scholarly journals Venous Air Embolism Leading to Cardiac Arrest in an Infant with Cyanotic Congenital Heart Disease

2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
Scott C. Watkins ◽  
Lewis McCarver ◽  
Alicia VanBebber ◽  
David P. Bichell
Keyword(s):  
Congenital Heart Disease ◽  
Cardiac Surgery ◽  
Heart Disease ◽  
Congenital Heart ◽  
Cardiopulmonary Arrest ◽  
Air Embolism ◽  
Cyanotic Congenital Heart Disease ◽  
Gas Embolism ◽  
Venous Air Embolism ◽  
Important Complication

Gas emboli, including venous and arterial, are a rare but important complication of pediatric cardiac surgery. They have the potential to have devastating consequences and require prompt recognition and treatment. We present a case of gas embolism occurring in the immediate postoperative period in an infant with cyanotic congenital heart disease after palliative cardiac surgery resulting in cardiopulmonary arrest. The embolism was diagnosed by visualization of air within the vessel creating an airlock and occluding pulmonary blood flow.

scholarly journals Efficacy of High Dose Tranexamic Acid in Decreasing Bleeding after Cardiac Surgery for Cyanotic Congenital Heart Disease in Children Less than Ten Kilo Body Weight

2018 ◽  
Vol 08 (05) ◽  
pp. 93-102
Author(s):  
Saranya Vishnumathy Sampathkumar ◽  
Vijayakumar Raju ◽  
Soundaravalli Balakrishnan ◽  
Saigopalakrishnan Mandhira Moorthy ◽  
Anandhi Arul ◽  
...  
Keyword(s):  
Congenital Heart Disease ◽  
Body Weight ◽  
Cardiac Surgery ◽  
Heart Disease ◽  
Tranexamic Acid ◽  
Congenital Heart ◽  
Cyanotic Congenital Heart Disease ◽  
High Dose

The Accuracy of Noninvasive Peripheral Pulse Oximetry After Palliative Cardiac Surgery in Patients With Cyanotic Congenital Heart Disease

2016 ◽  
Vol 8 (1) ◽  
pp. 32-38 ◽  
Author(s):  
Gemma E. Scrimgeour ◽  
Michael J. Griksaitis ◽  
John V. Pappachan ◽  
Andrew J. Baldock
Keyword(s):  
Congenital Heart Disease ◽  
Cardiac Surgery ◽  
Heart Disease ◽  
Pulse Oximetry ◽  
Congenital Heart ◽  
Cyanotic Congenital Heart Disease ◽  
Strong Negative Correlation ◽  
Oxyhemoglobin Saturation ◽  
Primary Means ◽  
Peripheral Pulse

Background: Children with cyanotic congenital heart disease (CCHD) live with oxyhemoglobin saturations that are typically expressed as percentages in the range of 70s and 80s. Peripheral pulse oximetry (measurement of SpO2) performs poorly in this range and yet is widely used to inform clinical decisions in these patients. The reference standard is co-oximetry of arterial samples (SaO2). Methods: In this study, 515 paired measurements of SpO2 and SaO2 were taken from 19 children who had undergone palliative cardiac surgery. Results: SpO2 (Masimo SET LNCS Neo pulse oximeter) overestimated oxyhemoglobin saturation in 82% of measurements (mean 4.6% ± 6.6%). There was a strong negative correlation between mean bias and SaO2 ( r = −.96, P = .002, 95% confidence interval: −0.99 to −0.68). Conclusion: The results raise a concern that critical hypoxemia may go undetected and untreated if pulse oximetry is relied upon as the primary means of assessing oxyhemoglobin saturation in children with CCHD. Strong preference must be given to co-oximetry of arterial samples.

scholarly journals Development of nephropathy in an adult patient after Fontan palliation for cyanotic congenital heart disease

2021 ◽  
Author(s):  
Kaori Hayashi ◽  
Akinori Hashiguchi ◽  
Masako Ikemiyagi ◽  
Hirobumi Tokuyama ◽  
Shu Wakino ◽  
...  
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Adult Patient ◽  
Congenital Heart ◽  
Cyanotic Congenital Heart Disease ◽  
Fontan Palliation

scholarly journals Predictive role of perioperative neutrophil to lymphocyte ratio in pediatric congenital heart disease associated with pulmonary arterial hypertension

BMC Surgery ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Xiaoqiang Yin ◽  
Mei Xin ◽  
Sheng Ding ◽  
Feng Gao ◽  
Fan Wu ◽  
...  
Keyword(s):  
Mechanical Ventilation ◽  
Congenital Heart Disease ◽  
Cardiac Surgery ◽  
Heart Disease ◽  
Pulmonary Arterial Hypertension ◽  
Arterial Hypertension ◽  
Congenital Heart ◽  
Prolonged Mechanical Ventilation ◽  
Pulmonary Arterial ◽  
Mechanical Ventilation Time

Abstract Background We aimed to explore the relationship between the neutrophil to lymphocyte ratio (NLR) and the early clinical outcomes in children with congenital heart disease (CHD) associated with pulmonary arterial hypertension (PAH) after cardiac surgery. Methods A retrospective observational study involving 190 children from January 2013 to August 2019 was conducted. Perioperative clinical and biochemical data were collected. Results We found that pre-operative NLR was significantly correlated with AST, STB, CR and UA (P < 0.05), while post-operative NLR was significantly correlated with ALT, AST, BUN (P < 0.05). Increased post-operative neutrophil count and NLR as well as decreased lymphocyte count could be observed after cardiac surgery (P < 0.05). Level of pre-operative NLR was significantly correlated with mechanical ventilation time, ICU stay time and total length of stay (P < 0.05), while level of post-operative NLR was only significantly correlated to the first two (P < 0.05). By using ROC curve analysis, relevant areas under the curve for predicting prolonged mechanical ventilation time beyond 24 h, 48 h and 72 h by NLR were statistically significant (P < 0.05). Conclusion For patients with CHD-PAH, NLR was closely related to early post-operative complications and clinical outcomes, and could act as a novel marker to predict the occurrence of prolonged mechanical ventilation.

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