ISSN: 1859 - 2872
Oucome of delayed sternal closure in pediatric open heart surgery at Vietnam National Children’s Hospital
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Abstract
Objective: To evaluate the outcomes of delayed sternal closure in pediatric open heart surgery at Viet Nam National Children’s Hospital. Subject and method: Hospital records were reviewed of 61 patients diagnosed of delayed sternum closure after open heart surgery at Viet Nam National Children’s Hospital from May 2020 to April 2021. Result: There were 61 investigated patients, median age was 2 (range, 1 - 11.5) months, median body weight was 4.5 (range, 3.4 - 7.8) kg, and the average duration of delayed sternal closure was 46 hours. Its main indication was low cardiac output syndrome (55.7%). Successful sternal closure was achieved in 60/61 patients (98.4%). The mortality rate was 13.1%. The mortality rate significantly increased with lactate levels > 4mmol/l when patient admitted to the cardiac ICU, ECMO after surgery, longer duration ventilation, length of stay in the intensive care unit, sepsis after surgery (p<0.05). Conclusion: Our study suggests that delayed sternal closure is an effective therapeutic option to promote hemodynamic stability after some complex cardiac surgeries in the early postoperative period.
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References
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