Volume 10, Issue 2 (5-2022)
J Surg Trauma 2022, 10(2): 71-76 |
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Mottaghi Moghaddam Shahri H, Yaghubi M, Ghasemi R, Chambari M, Hosseinzadeh Maleki M. Clinical outcomes of pulmonary valve replacement surgery in pediatrics: a single-center experience long-term study. J Surg Trauma 2022; 10 (2) :71-76
URL: http://jsurgery.bums.ac.ir/article-1-307-en.html
URL: http://jsurgery.bums.ac.ir/article-1-307-en.html
Hassan Mottaghi Moghaddam Shahri 
, Mohsen Yaghubi , Reza Ghasemi , Milad Chambari , Mahmood Hosseinzadeh Maleki *
, Mohsen Yaghubi , Reza Ghasemi , Milad Chambari , Mahmood Hosseinzadeh Maleki *
Associate Professor, Department of Cardiac Surgery, Imam Reza Hospital, Mashhad University of Medical Sciences, Mashhad, Iran
Abstract: (1189 Views)
- 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.
Keywords: Congenital Heart Disease, Pulmonary Valve Atresia, Pulmonary Valve Insufficiency, Pulmonary Valve Stenosis, Tetralogy of Fallot
Type of Study: Research |
Subject:
Heart Surgery
Received: 2021/10/17 | Accepted: 2022/05/23 | ePublished ahead of print: 2022/05/23 | Published: 2022/05/23 | ePublished: 2022/05/23
Received: 2021/10/17 | Accepted: 2022/05/23 | ePublished ahead of print: 2022/05/23 | Published: 2022/05/23 | ePublished: 2022/05/23
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