Vascular rings may cause pressure on the trachea and/or esophagus of varying degree, resulting in symptoms. This study assessed presentation symptoms, diagnostic methods and treatment results after surgery children with vascular ring.Symptomatic ring patients undergoing between January 2010 August 2014 at Mehmet Akif Ersoy Cardiovascular Research Training Hospital, Istanbul, were retrospectively assessed. The demographic characteristics, tests evaluated. Operative data postoperative follow...

We evaluated the preoperative, operative and postoperative risk factors affecting early mortality in patients who underwent total correction of tetralogy Fallot (TOF).One hundred twenty-two TOF reparative surgery between January 2010 November 2013 were enrolled study.Mean patient age weight was 2.3 ± 2.5 years 11.3 6.4 kg, respectively. Cardiac catheterization performed 101 (83%),and coronary anomalies found 11 patients. Mean McGoon index, pulmonary annulus z-score, main artery left z-score...

Objective: To reveal the risk factors that can lead to a complicated course and an increased morbidity in patients < 1 year old after surgical ventricular septal defect (VSD) closure.Methods: We reviewed consecutive series of who were admitted our institution for VSD closure under one age, between 2015 2018.Mechanical ventilation (MV) time > 24 hours, intensive care unit (ICU) stay longer than three days, hospital seven days defined as "prolonged".Unplanned reoperation, complete heart block...

Abstract Objectives: The sutureless repair technique has been favoured due to its purported reduction in post-operative pulmonary venous obstruction rates. This study aims compare the outcomes of conventional versus techniques Total Anomalous Pulmonary Venous Drainage. Methods: In this retrospective single-centre analysis (2012–2022), we evaluated children who underwent or for isolated total anomalous drainage, excluding complex cardiac anomalies and incomplete data. Patients were...

Background Epicardial implantation of implantable cardioverter defibrillators (ICDs) is considered in the presence intracardiac shunt, venous access issue, or small body size. We report our experience with epicardial ICD coil using a minimally invasive method. Methods Nine patients who underwent were included. The median age was 7.4 years (3.9–9.6 years) and weight 15 kg (12–24 kg). Diagnosis at time included long QT syndrome (n = 5), catecholaminergic polymorphic ventricular tachycardia 2),...

Abstract Near‐infrared spectroscopy ( NIRS ) is a noninvasive modality to monitor regional brain oxygenation (r SO 2 ). In this study, we aimed investigate the correlation between cerebral r and lactate, pump flow, hematocrit, p CO , mean blood pressure MBP during cardiopulmonary bypass CPB Between M arch S eptember 2011, 50 pediatric patients who underwent congenital heart surgery were enrolled into study. Ages ranged from 6 days 168 months (median 14 months). A sensor (Somanetics 5100B,...

Introduction: Extracorporeal membrane oxygenation (ECMO) has become a standard technique over the past few decades in intensive care unit (ICU).Objective: A review of pediatric patients who received ECMO support cardiac ICU was conducted to determine incidence, risk factors and causal organisms related acquired infections assess survival rates with nosocomial infections.Methods: Sixty-six between January 2011 June 2014 were included study.Demographic, echocardiographic, hemodynamic features...

This study aims to evaluate early postoperative arrhythmias in children undergoing congenital cardiac surgery.A total of 670 pediatric patients (355 males, 315 females; median age: 4 months; range, 1 day 18 years) who underwent surgery due heart defects between December 2018 and November 2019 were included. The rate arrhythmias, diagnosis, potential risk factors, management strategies evaluated. Multivariate regression analysis was used identify significant factors development...

Isolated complete atrioventricular block is a rare disease often associated with maternal autoantibodies. This study aimed to present the midterm data of patients at our clinic diagnosed isolated block.We evaluated 108 block. Demographic patients, electrocardiography, echocardiography, 24-hour Holter monitoring data, and follow-up complications who underwent pacemaker implantation were retrospectively.The mean age diagnosis was 5.51 ± 5.05 years. At time diagnosis, 74.8% had no symptoms The...

Abstract Introduction Although amiodarone is traditionally used in the treatment of postoperative junctional ectopic tachycardia (JET), search for new treatments ongoing. We present our experience with ivabradine at two medical centers. Materials and Methods Between January 2022 2023, patients who developed JET after pediatric cardiac surgery were prospectively followed up documented. The diagnosis was made support electrophysiology team based primarily on whether disrupted hemodynamics....

Vacuum-assisted closure (VAC) has been widely used to treat mediastinitis after congenital cardiac surgery, which is associated with a high risk of morbidity and mortality. The aim in this study review our 14 cases treated VAC therapy surgery. We retrospectively reviewed the medical records heart patients from January 2012 March 2017. Patients fever, wound discharge, sternal dehiscence, positive culture or abscess diagnosed computed tomography are accepted as mediastinitis. A was applied all...

Abstract Objective: To investigate the efficacy of dornase alpha, a mucolytic agent, in children who developed pulmonary atelectasis after congenital heart surgery. Design: Retrospective case–control study. Setting : Paediatric cardiac intensive care unit at tertiary hospital. Patients Between July, 2011 and 2012, 41 patients underwent operations post-operative that was resistant to conventional treatment chest physiotherapy. Interventions In all, 26 received alpha treatment. As control...

Background The rapid expansion of pediatric cardiovascular surgery, along with the increase in number centers and operations, has also increased use intraoperative transesophageal echocardiography (TEE). Preoperative TEE allows for confirmation diagnoses established by transthoracic angiography, identifies possible additional pathologic conditions. is used to follow up on surgical repairs, determine need reintervention, evaluate myocardial performance inotropic treatment. Our intention share...

PURPOSE This study was planned to assess the application of three-dimensional (3D) cardiac modeling in preoperative evaluation for complex congenital heart surgeries. METHODS From July 2015 September 2019, 18 children diagnosed with diseases (CHDs) were enrolled this (double outlet right ventricle nine patients, types transposition great arteries six congenitally corrected two and univentricular one patient). The patients' age ranged from 7 months 19 years (median age, 14 months). Before...

Background We aimed to evaluate rhythm abnormalities in cases of congenitally corrected transposition the great arteries (ccTGA) and associated treatment strategies. Patients Methods This retrospective cohort study included 65 pediatric patients with ccTGA who were admitted clinic between 2009 2017. The divided into two groups, surgical data, Holter electrocardiographic (ECG) recordings, ECG electrophysiological device implantation data on groups compared. Results Group I (n = 53, 82%)...

Aim Our aim was to evaluate the findings and role of intraoperative epicardial echocardiography ( IEE ) in management pediatric cardiac surgery patients. Methods Patients evaluated with between December 2015 2017 were analyzed retrospectively. Demographic data, preoperative transthoracic TTE ), reports evaluated. Results A total 410 patients by included study. Of these, 52% women, 48% men. The median age 8.5 months (range: 1 month–7 years), body weight 7.1 kg 3.3–61 kg). most common...

Aim: We aimed to investigate the risk factors affecting survival after extracorporeal membrane oxygenation use in pediatric postcardiotomy patients. Methods: One hundred thirty-three consecutive patients who underwent surgery for congenital heart disease needed support were retrospectively analyzed. Results: In all, 3,082 operated, of which 140 (4.54% total number operations) oxygenation. Eighty (60.1%) successfully weaned and 51 (38.3%) discharged. Of 50 discharged during mean follow-up...

Abstract Extracorporeal life support (ECLS) provides mechanical following cardiac surgery when respiratory or failure occurs. The aim of this study was to analyze the safety and feasibility Medos Deltastream diagonal pump (DP3) ECLS system in pediatric patients. We described technical considerations risk factors related survival outcomes 102 patients who received between March 2011 April 2016. switched from DP2 system, which used for initial 25 patients, DP3 after November 2012. then a...

Abstract Pulmonary atresia with intact ventricular septum ( PAIVS ) is characterized by a broad spectrum of heterogeneous morphologies. Perforation the atretic valve, balloon dilatation, and stenting patent ductus arteriosus are percutaneous techniques that used increasing frequency in our clinic as well. They have some advantages over surgery, including short hospital stay intensive care unit stay. The main goal primary interventional approach to avoid surgery. However, group patients still...

Abstract Near‐infrared spectroscopy ( NIRS ) is a noninvasive method used to evaluate tissue oxygenation. We evaluated the relationship between cerebral and renal parameters during transcatheter intervention adverse events in catheterization room. Between J anuary 1 M ay 31, 2012, 123 of 163 pediatric patients undergoing cardiac were followed by . All monitored electrocardiography, blood pressure measurement, pulse oxymetry, initial final lactate level measurement. The number interventional...

Abstract Extracorporeal life support ( ECLS ) provides mechanical following cardiac surgery when respiratory and failure occurs. We retrospectively reviewed medical records of patients who needed at a new congenital heart center in T urkey. Between D ecember 2009 F ebruary 2012, 616 operations were performed. A total 13 (seven female) underwent . The ages the ranged between 16 days 33 years. There two neonatal, seven infant, three pediatric, one adult cases. M edos DPII system was used all...

Objective: This study evaluated clinical and diagnostic findings, treatment methods, follow-up of cases anomalous coronary arteries from the pulmonary artery.Methods: The included all diagnosed with artery between January 2012 2016.Data patients' demographic characteristics, electrocardiography, echocardiography, angiographic operation, intensive care unit stay, were evaluated.Results: 12 patients (8 male, 4 female), 10 left (ALCAPA) 2 right (ARCAPA).Median age at diagnosis was months...

The number of diagnostic and interventional cardiac catheterization procedures are increasing in the post-operative period congenital heart diseases (CHD). aim this study was to evaluate data patients who underwent early after surgery (CHS).We retrospectively evaluated within 30 days CHS.Between 2010 2016 our hospital, 2584 children had operations, 2911 due CHD. Cardiac performed 50 (1.9% surgeries) these during period. Twenty-nine (58%) were males. median age 7.5 months (range: 15 days-12.5...