Abstract
The aim of the study was to compare the outcomes of hypothermic circulatory arrest (GCA) and selective cerebral perfusion (SCP). Nine patients were treated at the Bakoulev Center for Cardiovascular Surgery. All congenital heart diseases were repaired simultaneously. Group 1 (n = 4) included infants who were treated using an HCA, and the patients who underwent repair with the use of SCP were in group 2 (n = 5). One patient (25%) in group 1 died in the period of thirty days after the repair. Moderate heart failure and respiratory failure occurred postoperatively with no significant difference between two groups. Recoarctation was a frequent (75%) complication after the "end to end" anastomosis creating. One patient (25%) was reoperated on day 3 after the primary repair. Two other patients (50%) were treated by balloon angioplasty. There was relatively high (75%) incidence of a prolonged open sternotomy in group 1. There were similar results in HCA and SCP groups. A tendency for frequent prolonged open sternotomy application after HCA surgery as well as occurrence of the recoarctation after "end to end" anastomosis creating was found.
Highlights
The aim of the study was to compare the outcomes of hypothermic circulatory arrest (GCA) and selective cerebral perfusion (SCP)
Moderate heart failure and respiratory failure occurred postoperatively with no significant difference between two groups
Group 1 (n =4) included infants who were treated using an HCA, and the patients who underwent repair with the use of SCP were in group 2 (n =5)
Summary
Цель исследования: сравнить результаты одномоментной коррекции, выполненной в условиях гипотермического циркуляторного ареста (ГЦА) или селективной церебральной перфузии (СЦП). Отмечена высокая частота рекоарктации аорты (75%) у пациентов, которым реконструкция аорты была выполнена путем анастомоза «конец в конец». В группе 1 отмечена сравнительно высокая (75%) необходимость применения метода пролонгированной открытой стернотомии. Выводы: результаты применения методов ГЦА и СЦП схожи по большинству показателей. Обнаружена тенденция к повышенной частоте использования метода пролонгированной открытой стернотомии после операций с применением ГЦА, а также склонность к высокой частоте возникновения рекоарктации аорты после реконструкции аорты путем анастомоза «конец в конец». Одномоментная коррекция коарктации аорты и сопутствующей интракардиальной патологии доступом из срединной стернотомии требует применения специальных методов проведения искусственного кровообращения, таких как гипотермический циркуляторный арест (ГЦА) или селективная церебральная перфузия (СЦП) на этапе устранения коарктации аорты. Цель исследования: сравнить результаты одномоментной коррекции, выполненной в условиях ГЦА или СЦП
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