Ventriküler Septum Defekti Cerrahi Onarımında Mortaliteyi Etkileyen Erken Dönem Risk Faktörleri

Abstract

Bu çalışma, çocuklarda ventriküler septum defekti (VSD) cerrahi onarımında erken dönem mortaliteye etki eden faktörlerini belirlemeyi amaçlamaktadır. Bölümümüzde 20 yıl içerisinde VSD’si kapatılan 124 hasta retrospektif olarak değerlendirildi. Atriyal septum defekti (ASD) dışında eşlik eden kalp anomalisi olan hastalar çalışmaya alınmadı. Ortanca ameliyat yaşı 2.85 (0.25-17.5) yıl ve erken cerrahi mortalite 8 hasta ile %6,4 idi. Erken cerrahi kapatma yaşı, pulmoner-sistemik akımlar ve dirençler oranın yüksekliği, uzamış by-pass süresi ve ASD’in eşlik etmesinin mortalite için risk oluşturduğu görüldü. Sağ ventrikülotominin erken dönem mortaliteye etkisi yoktu. Anahtar kelimeler: Ventriküler septum defekti, kalp cerrahisi, mortalite Risk Factors Influencing Early Postoperative Mortality in Surgical Closure of Ventricular Septal Defects In this study we aimed to determine the mortality risk factors of early period ventricular septal defect repairment in childhood. We retrospectively investigated 124 children with surgical closure treatment for ventricular septal defect in the last 20 years. Children with additional cardiac anomalies except ASD excluded from the study. Median age for surgery was 2.85 (0.25-17.5) years and early surgical mortality rate was 6,4% (8 patient). Early ages for surgical closure, high pulmonary-systemic flow and resistance rate, extended time for by-pass and have an additional cardiac anomaly like ASD were determined as the risk factors for mortality. Right ventriculotomy has no effect on the early mortality.

Keywords

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References

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