Akademik Veri Yönetim Sistemi
E Journal of Cardiovascular Medicine, cilt.8, sa.1, ss.35-44, 2020 (TRDizin)
Objectives: Surgical treatment of congenital heart diseases(CHDs) is performed in many centers today. We aimed toreview the pediatric cardiac surgery cases performed in ourcenter and contribute to the literature with our data.Materials and Methods: In this study, 92 patients whounderwent palliative and complete correction for CHDsbetween March 2016 and March 2019 were evaluatedretrospectively.Results: A total of 92 patients, 37 (40.2%) females and55 (59.8%) males, were retrospectively examined for thisstudy. The number of patients under and over 1 year of agewere 74 (80.44%) and 18 (19.56%), respectively. The mostcommon congenital cardiac anomaly was ventricular septaldefect (28.26%). All surgical procedures were classifiedaccording to complexity based on the Aristotle BasicScoring system to find that 45 patients underwent Level 2,23 patients underwent Level 4, 13 patients underwent Level1 and 11 patients underwent Level 3 surgeries. Among ourpatients, 78.2% and 21.8% were operated with and withoutcardiopulmonary bypass (CPB), respectively. There wereno significant differences between patient age groups interms of operation time, CPB time and cross-clamp time,but the difference between the same parameters accordingto complexity level was statistically significant (p<0.05).As the complexity level increased, the durations wereprolonged. Postoperative complications were found to beincreased under 1 year of age and at high complexity levels(Levels 3 and 4). Similarly, it was found that mortalitysignificantly increased under 1 year of age and with highcomplexity levels (p<0.05).Conclusion: In surgical procedures for CHDs, complexitylevels according to Aristotle Basic Scoring System and thepatient’s age are effective factors on outcome. We believethat it is necessary to share the experiences of the centersworking in this field and to conduct randomized studieswith larger sample sizes.