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Prevalence of Complications Following Unifocalization and Pulmonary Artery Reconstruction Procedures

Monday, November 16, 2020

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Source Name: World Journal for Pediatric and Congenital Heart Surgery


Richard D. Mainwaring, MD, William L. Patrick, MD, Mihir Dixit, Akhil Rao, BA, Michal Palmon, BS, MPH, Tristan Margetson, CCP, John J. Lamberti, MD, Frank L. Hanley, MD

Techniques of unifocalization and pulmonary artery reconstructions have been developed to treat complex disorders of pulmonary artery development. The objective of this study was to document the prevalence of complications in these patients. The data demonstrate that the median value for duration of cardiopulmonary bypass (CPB) was 473 minutes, number of complications was five, and length of stay was 24 days. Major adverse cardiac events occurred in 11% of patients. Notably, while complications were relatively frequent, the overall outcomes were generally favorable. Importantly, CPB time had a poor correlation with total number of complications and hospital length of stay; a finding that is different from what has been observed in relation to other complex congenital or adult cardiac operations.

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