Articles
22 February 2024
Vol. 46 No. 1 (2024)
https://doi.org/10.4081/pmc.2024.328

Outcomes of delayed chest closure after congenital heart surgery in neonates

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Congenital heart surgery, neonate, outcomes
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Authors

Meletios Kanakis
https://orcid.org/0000-0002-9708-0523
Department of Pediatric and Congenital Heart Surgery, Onassis Cardiac Surgery Center, Athens, Greece.
George Samanidis
gsamanidis@yahoo.gr
https://orcid.org/0000-0001-6355-1932
Department of Pediatric and Congenital Heart Surgery, Onassis Cardiac Surgery Center, Athens; Department of Adult Cardiac Surgery, Onassis Cardiac Surgery Center, Athens, Greece.
Kyriaki Kolovou
https://orcid.org/0000-0003-4634-9868
Department of Cardiac Surgery Intensive Care, Onassis Cardiac Surgery Center, Athens, Greece.
Sotirios Katsaridis
Department of Pediatric and Congenital Heart Surgery, Onassis Cardiac Surgery Center, Athens, Greece.
Athina Maria Sait
Department of Pediatric Cardiac and Cardiac Surgery Intensive Care, Onassis Cardiac Surgery Center, Athens, Greece.
Georgios Kourelis
https://orcid.org/0000-0001-6663-7926
Department of Pediatric Cardiac and Cardiac Surgery Intensive Care, Onassis Cardiac Surgery Center, Athens, Greece.
Nicholas Giannopoulos
Department of Pediatric and Congenital Heart Surgery, Onassis Cardiac Surgery Center, Athens, Greece.
Dimitrios Bobos
Department of Pediatric and Congenital Heart Surgery, Onassis Cardiac Surgery Center, Athens, Greece.

We present the outcomes of delayed chest closure in neonates who underwent congenital heart surgery under cardiopulmonary bypass. Eighty-one consecutive neonatal patients (age ≤ 28 days) with congenital heart diseases who underwent heart operations and after surgery, chest remained open in the intensive care unit until DCC. Correction of transposition of the great arteries pathology was the most common surgical procedure (48.1% of patients). Median sternal closure time from surgery was 3 (2-4) days. Median age of neonates was 9 (5-12) days. In addition, in 4 cases (4.9%) there was secretion from the surgical site after DCC and after taking cultures, in 2 (2.4%) of the cases a pathogen was identified. Multivariable linear regression analysis (adjusted to gender and CPB) showed that only the age-predicted the sternum closure time (β=-0.09, 95%CI: - 0.16 to -0.02, p=0.02). In-hospital mortality was 6 (7.4%) patients. Although the DCC in neonates who underwent CHD surgical correction was related to a high mortality rate, only the age of neonates predicted the sternum closure time in the ICU.

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Outcomes of delayed chest closure after congenital heart surgery in neonates. (2024). La Pediatria Medica E Chirurgica, 46(1). https://doi.org/10.4081/pmc.2024.328
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