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Management of Specific Complications after Congenital Heart Surgery (I)

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DOI: 10.4236/ojped.2015.51011    5,289 Downloads   6,117 Views   Citations

ABSTRACT

In addition to the general consequences of surgery and cardiopulmonary by-pass, lesion-specific complications can occur after surgery for congenital heart disease. It is important for the pediatric intensive care specialist to fully understand the preoperative anatomy and the intraoperative details of these patients. This allows a timely and appropriate treatment of general and lesion-specific complications. In this article we provide a list of commonly-performed surgical procedures and possible associated problems to be anticipated in the early postoperative period. Then it follows a discussion about the diagnosis and management of these complications, based on their pathophysiological features.

Conflicts of Interest

The authors declare no conflicts of interest.

Cite this paper

Andrés, A. , Miño, C. , Diéguez, E. , Boni, L. and Moreno, J. (2015) Management of Specific Complications after Congenital Heart Surgery (I). Open Journal of Pediatrics, 5, 56-66. doi: 10.4236/ojped.2015.51011.

References

[1] Krishnamurthy, G., Ratner, V. and Bacha, E. (2013) Neonatal Cardiac Care, a Perspective. Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual, 16, 21-31.
http://dx.doi.org/10.1053/j.pcsu.2013.01.007
[2] Beke, D.M., Braudis, N.J. and Lincoln, P. (2005)Management of the Pediatric Postoperative Cardiac Surgery Patient. Critical Care Nursing Clinics of North America, 17, 405-416.
http://dx.doi.org/10.1016/j.ccell.2005.08.006
[3] Miletic, K.G., Spiering, T.J., Delius, R.E., et al. (2014) Use of a Novel Vasoactive-Ventilation-Renal Score to Predict Outcomes after Paediatric Cardiac Surgery. Interactive CardioVascular and Thoracic Surgery, 20, 289-295.
[4] Bronicki, R.A. and Chang, A.C. (2011) Management of the Postoperative Pediatric Cardiac Surgical Patient. Critical Care Medicine, 39, 1974-1984.
http://dx.doi.org/10.1097/CCM.0b013e31821b82a6
[5] Pouard, P. and Bojan, M. (2013) Neonatal Cardiopulmonary Bypass. Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual, 15, 59-61.
http://dx.doi.org/10.1053/j.pcsu.2013.01.010
[6] Ungerleider, R.M. (2005) Optimizing Response of the Neonate and Infant to Cardiopulmonary Bypass. Cardiology in the Young, 15, 142-148.
http://dx.doi.org/10.1017/S1047951105001186
[7] Wessel, D.L. (1992) Postoperative Management of the Open Heart Surgery Patient. In: Gioia, F.R., Stidham, G.L. and Yeh, T.S., Eds., Pediatric Clinical Care Medicine, 135-152.
[8] Cyran, S.E., Hannon, D.W., Daniels, S.R., Gelfand, M.J., Bailey, W.W., Wilson, J.M. and Kaplan, S. (1987) Predictors of Postoperative Ventricular Dysfunction in Infants Who Have Undergone Primary Repair of a Ventricular Septal Defect. American Heart Journal, 113, 1144-1148.
http://dx.doi.org/10.1016/0002-8703(87)90926-4
[9] Kavey, R.E. (2006) Optimal Management Strategies for Patients with Complex Congenital Heart Disease. Circulation, 113, 2569-2571.
http://dx.doi.org/10.1161/CIRCULATIONAHA.106.629154
[10] Cullen, S., Shore, D. and Redington, A. (1995) Characterization of Right Ventricular Diastolic Performance after Complete Repair of Tretralogy of Fallot: Restrictive Physiology Predicts Slow Postoperative Recovery. Circulation, 91, 1782-1789.
http://dx.doi.org/10.1161/01.CIR.91.6.1782
[11] Jonas, R. (2004) Left Ventricular Outflow Tract Obstruction: Aortic Valve Stenosis, Suaortic Stenosis, Supravalvar Aortic Stenosis. In: Jonas, R., Nardo, D. and James, A., et al., Eds., Comprehensive Surgical Management of Congenital Heart Disease, Atnold, London, 320-340.
[12] Uva, M.S., Galetti, L., Gayet, F.L., Piot, D., Serraf, A., Bruniaux, J., Comas, J., Roussin, R., Touchot, A., Binet, J.P., et al. (1995) Surgery for Congenital Mitral Valve Disease in the First Year of Life. The Journal of Thoracic and Cardiovascular Surgery, 109, 164-174.
http://dx.doi.org/10.1016/S0022-5223(95)70432-9
[13] Yoshimura, N., Yamaguchi, M., Oshima, Y., Oka, S., Ootaki, Y., Murakami, H., Tei, T. and Ogawa, K. (1999) Surgery for Mitral Valve Disease in the Pediatric Age Group. The Journal of Thoracic and Cardiovascular Surgery, 118, 99-106.
http://dx.doi.org/10.1016/S0022-5223(99)70148-0
[14] Vargas, F.J., Mengo, G., Granja, M.A., Gentile, J.A., Rannzini, M.E. and Vazquez, J.C. (1998) Tricuspid Annuloplasty and Ventricular Placation for Ebstein’s Malformation. The Annals of Thoracic Surgery, 65, 1755-1757.
http://dx.doi.org/10.1016/S0003-4975(98)00290-2
[15] Lipshultz, S.E. (2000) Ventricular Dysfunction Clinical Research in Infants, Children and Adolescents. Progress in Pediatric Cardiology, 12, 1-28.
http://dx.doi.org/10.1016/S1058-9813(00)00076-X
[16] Tede, N. and Child, J. (2000) Diastolic Dysfunction in Patients with Congenital Heart Disease. Cardiology Clinics, 18, 491-499.
http://dx.doi.org/10.1016/S0733-8651(05)70157-0
[17] Yano, M., Kohno, M., Ohkusa, T., Mochizuki, M., Yamada, J., Kohno, M., et al. (2000) Effect of Milrinone on Left Ventricular Relaxation and Calcium Uptake Function of Cardiac Sarcoplasmic Reticulum. American Journal of Physiology—Heart and Circulatory Physiology, 279, H1898-H1905.
[18] Wessel, D.L., Adatia, I., Giglia, T.M., Thompson, J.E. and Kulik, T.J. (1993) Used of Inhaled Nitric Oxide and Acetylcholine in the Evaluation of Pulmonary Hypertension and Endothelial Function after Cardiopulmonary By-Pass. Circulation, 88, 2128-2138.
http://dx.doi.org/10.1161/01.CIR.88.5.2128
[19] Petros, A.J. and Pierce, C.M. (2006) The Management of Pulmonary Hypertension. Pediatric Anesthesia, 16, 816-821.
[20] Balaguru, D., Artman, M. and Auslender, M. (2000) Management of Heart Failure in Children. Current Problems in Pediatrics, 30, 1-35.
http://dx.doi.org/10.1016/S0045-9380(00)80035-3
[21] Kay, J.D., Colan, S.D. and Graham Jr., T.P. (2001) Congestive Heart Failure in Pediatric Patients. American Heart Journal, 142, 923-928.
http://dx.doi.org/10.1067/mhj.2001.119423
[22] Egan, J.R., Clarke, A.J., Williams, S., Cole, A.D., Ayer, J., Jaceobe, S., et al. (2006) Levosimendan for Low Cardiac Output: A Pediatric Experience. Journal of Intensive Care Medicine, 21, 183-187.
http://dx.doi.org/10.1177/0885066606287039
[23] Namachivayam, P., Crossland, D.S., Butt, W.W. and Shekerdemian, L.S. (2006) Early Experience with Levosimendan in Children with Ventricular Dysfunction. Pediatric Critical Care Medicine, 7, 445-448.
http://dx.doi.org/10.1097/01.PCC.0000235251.14491.75
[24] Camino, M., Riano, B., Martínez, C. and Zunzunegui, J.L. (2008) Levosimendan Experience in Paediatric Population. Med Clin Monogr (Barc), 9, 18-21.

  
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