Analysis of the influencing factors of surgical effect for Blalock-Taussig shunt in congenital heart disease during neonatal period
10.3760/cma.j.issn.1001-4497.2018.10.001
- VernacularTitle:新生儿改良Blalock-Taussing分流术后疗效的影响因素
- Author:
Yujie LIU
1
;
Zhuoming XU
;
Limin ZHU
;
Jihong HUANG
;
Zhihao LI
;
Jiming CAI
;
Jinghao ZHENG
Author Information
1. 200127,上海交通大学医学院附属上海儿童医学中心心胸外科
- Keywords:
Neonate;
Congenital heart defect;
Blalock-Taussig procedure
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2018;34(10):577-580
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the influencing factors of surgical management for Blalock-Taussig shunt during neonatal period,and to summarize the clinical experience,therefore,to improve the surgical outcome.Methods The clinical data between Jan 2011 and Dec 2016 were reviewed,42 neonates(26 males,16 females)with the mean age from 1 to 29 days,and weight from 2.3 to 4.1 kg,underwent a Blalock-Taussig shunt.The additional operation included PDA retention in 3 patients,right ventricular outflow tract retention in 12 patients,B-T conduit banding in 2 patients and PDA banding in 1 patient.Results The early mortality was 28.6％ (12/42).Univariate analysis revealed low birth weight,waiting time for surgery,preoperative acidosis or cardiac shock,dual pulmonary blood supply,conduit/weight,high IS (inotropic drugs score),unplanned intervention as risk factors for early death.In the multivariate analysis,preoperative acidosis or cardiac shock,conduit/weight,high IS were independent risk factors of early death.Conclusion The mortality rate after the neonatal modified Blalock-Taussig shunt remains high.It can be improved by proper perioperative treatment,immediate surgical treatment and choose suitable conduit size,maintain the stable circulation.
