Post-operative complications and measures on complex cyanotic congenital heart diseases and pulmonary shunt

Abstract

Objective To analyze the causes and treatment methods of early complications after central systemic-pulmonary shunt in complex cyanotic congenital heart diseases. Methods Two hundred and twelve cases of central systemic-pulmonary shunt in complex cyanotic congenital heart diseases were retrospectively analyzed in order to explore the early postoperative complications and related treatment measures. Results There were 61 cases(28.77%) of the early postoperative complications, including severe low cardiac output syndrome in 27 cases, acute pulmonary edema in 14 cases, 24 h shunt pipe blockage in 12 cases, and supraventricular tachycardia in 8 cases.All patients got followed up, average for(2.49±1.21) years.After the systemic-to-pulmonary artery shunts, pulmonary vascular had significant growth, 8 patients(3.77%) of them who pulmonary hypoplasia were promoted by transcatheter aortopulmonary collateral vessels.At the end of the follow-up, 77 patients(36.32%)achieved the standard of radical surgery. Conclusion The factors affecting surgical survival rate include: enhancement of patients cardiac function and strictly handle operation indication before operation a clear operational view; rational surgical methods; treatment of complication without delay; strict, intensive care and synthesized treatment. Key words: Systemic-pulmonary shunt; Cardiac surgery; Complication; Congenital heart disease,