دوره 10، شماره 2 - ( 3-1401 )
جلد 10 شماره 2 صفحات 76-71 |
برگشت به فهرست نسخه ها
چکیده: (1194 مشاهده)
- Introduction: Heart valve disease in pediatricsis an increasing global concern, especially in developing countries. This study aims to determine the clinical outcomes of pulmonary valve replacement (PVR) surgery in pediatrics.
- Methods: The authors retrospectively identified all pediatrics undergoing PVR surgery at Imam Reza hospital (Mashhad, Iran) between 2000 and 2020. Their medical records were reviewed for demographic characteristics, clinical data (intra-operative and postoperative), and follow-up results. Echocardiography and electrocardiography were performedonall patients before the surgery and periodically after the surgery.
- Results: Among 50 pediatrics undergoing surgical PVR, 38 (76%) were female and others were male (14%), with a mean age of 10.39±5.31 years. The leading cause of PVR was the Tetralogy of Fallot. There was a significant relationship between age at the time of surgery and the size of the pulmonary valve(P=0.02).There were also statistically significant differences between QTc intervals before and after surgery (P=0.001). Further more, there was a significant correlation between QTc intervals before and after surgery and the ageof pediatrics at the time of surgery (P=0.01, r=-0.6).There was also a statistically significant relationship between the ICU stay (P=0.01) and the weaning time of the mechanical ventilation (P=0.03).
- Conclusion: It is recommended that this procedure ispostponed as much as possible to decrease postoperative life-threatening events in pediatrics.In addition, if this surgery is conducted with good surgical and nursing management, it can be safe with low complications among other cardiac valve procedures.
نوع مطالعه: پژوهشي |
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دریافت: 1400/7/25 | پذیرش: 1401/3/2 | انتشار الکترونیک پیش از انتشار نهایی: 1401/3/2 | انتشار: 1401/3/2 | انتشار الکترونیک: 1401/3/2
دریافت: 1400/7/25 | پذیرش: 1401/3/2 | انتشار الکترونیک پیش از انتشار نهایی: 1401/3/2 | انتشار: 1401/3/2 | انتشار الکترونیک: 1401/3/2
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