ISSN : 1301-5680
e-ISSN : 2149-8156
Turkish Journal of Thoracic and Cardiovascular Surgery     
Aortic arch and intracardiac repair without circulatory arrest in neonates and infants
Ali Rıza Karaci1, Ahmet Şaşmazel1, Reyhan Dedeoğlu2, Numan Ali Aydemir1, Buğra Harmandar1, Hasan Erdem3, Dicle Cengiz4, Ahmet Çelebi2, İbrahim Yekeler1
Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, İstanbul, Turkey
1Departments of Cardiovascular Surgery, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, İstanbul, Turkey
2Departments of Pediatric Cardiology, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, İstanbul, Turkey
3Department of Cardiovascular Surgery, Kartal Koşuyolu Training and Research Hospital, İstanbul, Turkey
4Department of Statistics, İstanbul Commerce University, İstanbul, Turkey
DOI : 10.5606/tgkdc.dergisi.2014.8542
Background: In this article, we aimed to report our surgical experiences with selective antegrade cerebral perfusion combined with the aortic arch and intracardiac surgery in neonates and infants.

Methods: Medical data of 27 consecutive patients (18 boys, 9 girls; mean age 9.9+1.7 days; range 1 to 26 days) who undergoing aortic arch and intracardiac repair between March 2007 and April 2012 were retrospectively analyzed. The link between perioperative risk factors and 30-day mortality following surgery were investigated.

Results: The mean body weight of patients were 3.2±0.9 kg. Major associated cardiac defects were present in 12 and included truncus arteriosus (Vaan Pragh type 4) (n=2), transposition of the great arteries (n=5), double outlet right ventricle with Taussing Bing anomaly (n=2), and aortopulmonary window defect (n=3). Renal insufficiency and dialysis were statistically significantly associated with mortality [Chi square 27 (p=0.000) and 20.66 (p=0.000), respectively].

Conclusion: Aortic arch repair with simultaneous intracardiac surgical repair can be done with selective antegrade cerebral perfusion at a single stage in neonates and infants.

Keywords : Antegrade cerebral perfusion; aortic arch intracardiac surgery; neonatal infant
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