Persistent left superior vena cava in cardiac congenital surgery.

Détails

ID Serval
serval:BIB_F131D5C46360
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Persistent left superior vena cava in cardiac congenital surgery.
Périodique
Pediatric Cardiology
Auteur(s)
Giuliani-Poncini C., Perez M.H., Cotting J., Hurni M., Sekarski N., Pfammatter J.P., Di Bernardo S.
ISSN
1432-1971 (Electronic)
ISSN-L
0172-0643
Statut éditorial
Publié
Date de publication
2014
Volume
35
Numéro
1
Pages
71-76
Langue
anglais
Notes
Publication types: Journal ArticlePublication Status: ppublish
Résumé
Persistent left superior vena cava (LSVC) is a relatively frequent finding in congenital cardiac malformation. The scope of the study was to analyze the timing of diagnosis of persistent LSVC, the timing of diagnosis of associated anomalies of the coronary sinus, and the global impact on morbidity and mortality of persistent LSVC in children with congenital heart disease after cardiac surgery. Retrospective analysis of a cohort of children after cardiac surgery on bypass for congenital heart disease. Three hundred seventy-one patients were included in the study, and their median age was 2.75 years (IQR 0.65-6.63). Forty-seven children had persistent LSVC (12.7 %), and persistent LSVC was identified on echocardiography before surgery in 39 patients (83 %). In three patients (6.4 %) with persistent LSVC, significant inflow obstruction of the left ventricle developed after surgery leading to low output syndrome or secondary pulmonary hypertension. In eight patients (17 %), persistent LSVC was associated with a partially or completely unroofed coronary sinus and in two cases (4 %) with coronary sinus ostial atresia. Duration of mechanical ventilation was significantly shorter in the control group (1.2 vs. 3.0 days, p = 0.04), whereas length of stay in intensive care did not differ. Mortality was also significantly lower in the control group (2.5 vs. 10.6 %, p = 0.004). The results of study show that persistent LSVC in association with congenital cardiac malformation increases the risk of mortality in children with cardiac surgery on cardiopulmonary bypass. Recognition of a persistent LSVC and its associated anomalies is mandatory to avoid complications during or after cardiac surgery.
Pubmed
Web of science
Open Access
Oui
Création de la notice
07/02/2014 19:36
Dernière modification de la notice
09/05/2019 3:18
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