Neurological complications after pediatric cardiac surgery
نویسندگان
چکیده
Abstract Background The number of pediatric patients who survive open-heart surgery has increased in recent years and the complications seen this patient group continue to decrease with each technological advance, including new surgical neuroprotective techniques improvement surgeons’ experience population. However, neurological complications, which are most feared difficult manage, require long-term follow-up, increase hospital costs remain a leading cause mortality morbidity cohort. Results We evaluated physical examination, cranial computed tomography (CT), magnetic resonance (MRI) records 162 symptoms lasting more than 24 h after undergoing heart our clinic between June 2012 May 2020. patients’ ages ranged from 0 205 months, mean 60.59 ± 46.44 months. Of 3849 cardiac we screened, had early period (the first 10 days surgery). incidence was calculated as 4.2%; 69 (42.6%) experienced seizures, 17 (10.5%) confusion, 39 (24.1%) stupor, 37 (22.8%) hemiparesis. developed 54 (33.3%) died. Patients were divided into 3 groups: strokes ( n = 90), intracranial bleeding 37), no radiological results 35). Thirty-four (37.8%) stroke died, did 15 (40%) group, 5 (14.3%) group. Conclusions Studies on literature currently insufficient. think that study will contribute detailed discussion issue. Responses events treatment may differ compared adult age Primary prevention methods should be main approach combating complications; their formation mechanisms carefully monitored preventive strategies developed.
منابع مشابه
The effects of magnesium supplementation on the incidence of cardiac complications after pediatric cardiac surgery
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متن کاملMeeting abstracts Neurological complications after cardiac surgery
Although mortality rate after cardiac surgery has been drastically reduced, neurological complications remain a significant problem. Several etiologic factors have been proposed, including previous unrecognized neurological abnormality, embolic events, hypoxic insult, low cardiac output, systemic inflammatory response, and altered cerebral blood flow (CBF) and metabolism. Cerebral ischemia can ...
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Rev Esp Cardiol. 2005;58(9):1003-6 1003 Despite the advances in surgical techniques, cardiopulmonary bypass circuits and the medical treatment of patients subjected to cardiac surgery, perioperative complications involving the nervous system continue to develop and the underlying mechanisms are sometimes poorly understood. Neurological complications (NC) in these patients can affect the brain, ...
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متن کاملRisk factors of neurological complications in cardiac surgery.
BACKGROUND Postoperative complications are integral to cardiac surgery. The most serious ones are stroke, which develops in about 7.5% of the patients, and postoperative encephalopathy, which affects 10-30% of the patients. According to bibliographical data, the number of complications is increasing. AIM To analyse the risk factors and the types of neurological complications in patients under...
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ژورنال
عنوان ژورنال: The Cardiothoracic Surgeon
سال: 2021
ISSN: ['2662-2203']
DOI: https://doi.org/10.1186/s43057-021-00056-1