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Outcomes and Risk Factors for Morbidity and Mortality of Systemic-to-Pulmonary Shunts in a Tertiary Hospital in

Khunthorn Kadeetham1, Piya Samankatiwat1

  • 1Division of Cardiothoracic Surgery, Department of Surgery, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.

World Journal for Pediatric & Congenital Heart Surgery
|October 25, 2024
PubMed

Insights

Systemic-to-pulmonary shunts are a safe palliative procedure for children with cyanotic congenital heart disease. This study found excellent outcomes with low mortality and reintervention rates, emphasizing meticulous surgical care.

Area of Science:

  • Pediatric Cardiology
  • Congenital Heart Surgery

Background:

  • Systemic-to-pulmonary shunts are crucial palliative procedures for cyanotic congenital heart disease.
  • Existing morbidity and mortality necessitate evaluating shunt procedure outcomes and risk factors.

Purpose of the Study:

  • To report outcomes of systemic-to-pulmonary shunts in pediatric patients.
  • To identify risk factors associated with adverse events following these procedures.

Main Methods:

  • Retrospective analysis of 42 patients undergoing systemic-to-pulmonary shunts from 2013 to 2024.
  • Data collected from electronic medical records, including demographics, operative, and postoperative details.

Main Results:

  • Excellent overall results with one operative mortality and no discharge mortality in 42 patients.
  • Low reintervention rate (four cases) and similar outcomes across different shunt types, sizes, approaches, and diagnoses.

Conclusions:

  • Systemic-to-pulmonary shunts are demonstrated as safe and reliable in a tertiary hospital setting.
  • Meticulous surgical techniques and standardized postoperative care protocols are key to optimizing patient outcomes.
Abstract

Keywords:
cyanotic heart diseasesmorbiditymortalityrisk factorssystemic-to-pulmonary shunts

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