Atrial Septal Defect Surgery With Normothermic Cardiopulmonary Bypass and Normothermic Blood Cardioplegia in the Pediatric Age Group
Yıl: 2020 Cilt: 6 Sayı: 1 Sayfa Aralığı: 87 - 91 Metin Dili: İngilizce DOI: 10.17954/amj.2019.1774 İndeks Tarihi: 14-10-2020
Atrial Septal Defect Surgery With Normothermic Cardiopulmonary Bypass and Normothermic Blood Cardioplegia in the Pediatric Age Group
Öz: Objective: The aim of this study is to present the outcomes of atrial septal defect (ASD) closureoperations performed using normothermic cardiopulmonary bypass and normothermic bloodcardioplegia in patients in the pediatric age group.Material and Methods: Between 2014 and 2017, 62 pediatric patients (37 females, 25 males, meanage 7.6±4.6 years-body weight 27.09±18.4 kg) received normothermic cardiopulmonary bypassand normothermic blood cardioplegia during an ASD closure operation. A mini-skin incision andmedian 3/4 upper partial sternotomy were used. During cardiopulmonary bypass, nasopharyngealtemperature was maintained at 35-37°C and normothermic blood cardioplegia was administered at10 ml/kg.Results: The ASD was ‟low venosum” type in 8 patients and ‟secundum” type in 54 patients.The average Qp/Qs value was 2.57±1.2 and mean pulmonary artery pressure values were systolic31.88±6.6 mmHg, diastolic 11.0±2.6 mmHg, general mean 18.54±3.8 mmHg. Primary closure wasused in 51 patients and a fresh pericardial patch was used in 11 patients. Mean cardiopulmonarybypass time was 26.04±10.8 min and aortic clamp time was 15.38±8.2 min. Twenty-eight patientswere extubated on the operation table and the mean extubation time of 34 patients who wereextubated in the pediatric intensive care unit was 3.02±2.9 hours. The mean drainage volume of thepatients was 58.95±44.3 ml, and none of the patients needed transfusion of blood products in thepostoperative period. Mean duration of intensive care stay was found to be 1.3±0.4 days. The meanduration of hospital stay was 4.3±1 days.Conclusion: The results suggest that normothermic cardiopulmonary bypass and normothermicblood cardioplegia may be used safely in ASD closure operations performed in the pediatric agegroup.
Anahtar Kelime: Pediatrik Yaş Grubunda Normotermik Kardiyopulmoner By-Pass ve Normotermik Kan Kardiyoplejisi İle Atriyal Septal Defekt Cerrahisi
Öz: Amaç: Bu çalışmanın amacı, pediatrik yaş grubundaki hastalarda, normotermik kardiyopulmoner bypass ve normotermik kan kardiyoplejisi kullanılarak yapılan atriyal septal defekt (ASD) kapatılması operasyonlarının sonuçlarını sunmaktır. Gereç ve Yöntemler: 2014-2017 yılları arasında 62 pediatrik hastaya (37 kadın ve 25 erkek, ortalama yaş 7,6±4,6 yıl, ortalama vücut ağırlığı 27,09±18,4 kg) normotermik kardiyopulmoner bypass ve normotermik kan kardiyoplejisi kullanılarak ASD kapatılması operasyonu yapıldı. Hastalarda mini cilt insizyonu ve median 3/4 üst parsiyel sternotomi kullanıldı. Kardiyopulmoner bypass esnasında nazofarengeal ısı 35-37 °C arasında tutuldu ve normotermik kan kardiyoplejisi 10 ml/kg olarak uygulandı. Bulgular: Saptanan ASD tipleri; 8 “low venosum” tip, 54 “sekundum” tip olup, ortalama Qp/Qs değerleri; 2,57±1,2, ortalama pulmoner arter basıncı değerleri; sistolik, 31,88±6,6 mmHg, diyastolik, 11,0±2,6 mmHg ve ortalama, 18,54±3,8 mmHg’dir. 51 hastada primer, 11 hastada taze perikard yama ile kapatma yöntemi kullanılmış olup, ortalama kardiyopulmoner bypass süresi 26,04±10,8 dk ve aortik klemp süresi 15,38±8,2 dk olarak saptanmıştır. Yirmisekiz hasta operasyon masasında ekstübe edilmiş olup, pediatrik yoğun bakım ünitesinde ekstübe edilen 34 hastanın ortalama ekstübasyon süresi 3,02±2,9 saattir. Hastaların ortalama drenaj miktarı 58,95±44,3 ml olarak tespit edilmiş olup, postoperatif dönemde kan ürünü verilme ihtiyacı olan hasta olmamıştır. Ortalama yoğun bakım kalış süreleri 1,3±0,4 gün olarak bulunmuştur. Ortalama hastanede kalış süresi 4,3±1 gün olarak saptanmıştır. Sonuç: Elde edilen sonuçlar normotermik kardiyopulmoner bypass ve normotermik kan kardiyoplejisinin, pediatrik yaş grubundaki hastalarda uygulanan ASD kapatılması operasyonlarında güvenle kullanılabileceğini düşündürmektedir.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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| APA | Özçobanoğlu S (2020). Atrial Septal Defect Surgery With Normothermic Cardiopulmonary Bypass and Normothermic Blood Cardioplegia in the Pediatric Age Group. , 87 - 91. 10.17954/amj.2019.1774 |
| Chicago | Özçobanoğlu Salih Atrial Septal Defect Surgery With Normothermic Cardiopulmonary Bypass and Normothermic Blood Cardioplegia in the Pediatric Age Group. (2020): 87 - 91. 10.17954/amj.2019.1774 |
| MLA | Özçobanoğlu Salih Atrial Septal Defect Surgery With Normothermic Cardiopulmonary Bypass and Normothermic Blood Cardioplegia in the Pediatric Age Group. , 2020, ss.87 - 91. 10.17954/amj.2019.1774 |
| AMA | Özçobanoğlu S Atrial Septal Defect Surgery With Normothermic Cardiopulmonary Bypass and Normothermic Blood Cardioplegia in the Pediatric Age Group. . 2020; 87 - 91. 10.17954/amj.2019.1774 |
| Vancouver | Özçobanoğlu S Atrial Septal Defect Surgery With Normothermic Cardiopulmonary Bypass and Normothermic Blood Cardioplegia in the Pediatric Age Group. . 2020; 87 - 91. 10.17954/amj.2019.1774 |
| IEEE | Özçobanoğlu S "Atrial Septal Defect Surgery With Normothermic Cardiopulmonary Bypass and Normothermic Blood Cardioplegia in the Pediatric Age Group." , ss.87 - 91, 2020. 10.17954/amj.2019.1774 |
| ISNAD | Özçobanoğlu, Salih. "Atrial Septal Defect Surgery With Normothermic Cardiopulmonary Bypass and Normothermic Blood Cardioplegia in the Pediatric Age Group". (2020), 87-91. https://doi.org/10.17954/amj.2019.1774 |
| APA | Özçobanoğlu S (2020). Atrial Septal Defect Surgery With Normothermic Cardiopulmonary Bypass and Normothermic Blood Cardioplegia in the Pediatric Age Group. Akdeniz Tıp Dergisi, 6(1), 87 - 91. 10.17954/amj.2019.1774 |
| Chicago | Özçobanoğlu Salih Atrial Septal Defect Surgery With Normothermic Cardiopulmonary Bypass and Normothermic Blood Cardioplegia in the Pediatric Age Group. Akdeniz Tıp Dergisi 6, no.1 (2020): 87 - 91. 10.17954/amj.2019.1774 |
| MLA | Özçobanoğlu Salih Atrial Septal Defect Surgery With Normothermic Cardiopulmonary Bypass and Normothermic Blood Cardioplegia in the Pediatric Age Group. Akdeniz Tıp Dergisi, vol.6, no.1, 2020, ss.87 - 91. 10.17954/amj.2019.1774 |
| AMA | Özçobanoğlu S Atrial Septal Defect Surgery With Normothermic Cardiopulmonary Bypass and Normothermic Blood Cardioplegia in the Pediatric Age Group. Akdeniz Tıp Dergisi. 2020; 6(1): 87 - 91. 10.17954/amj.2019.1774 |
| Vancouver | Özçobanoğlu S Atrial Septal Defect Surgery With Normothermic Cardiopulmonary Bypass and Normothermic Blood Cardioplegia in the Pediatric Age Group. Akdeniz Tıp Dergisi. 2020; 6(1): 87 - 91. 10.17954/amj.2019.1774 |
| IEEE | Özçobanoğlu S "Atrial Septal Defect Surgery With Normothermic Cardiopulmonary Bypass and Normothermic Blood Cardioplegia in the Pediatric Age Group." Akdeniz Tıp Dergisi, 6, ss.87 - 91, 2020. 10.17954/amj.2019.1774 |
| ISNAD | Özçobanoğlu, Salih. "Atrial Septal Defect Surgery With Normothermic Cardiopulmonary Bypass and Normothermic Blood Cardioplegia in the Pediatric Age Group". Akdeniz Tıp Dergisi 6/1 (2020), 87-91. https://doi.org/10.17954/amj.2019.1774 |
