Application of delayed sternal closure following arterial switch operation for neonates with transposition of great arteries (D-TGA): A case control study
10.7507/1007-4848.201803001
- VernacularTitle:完全性大动脉转位新生儿大动脉调转术后延迟关胸的病例对照研究
- Author:
LI Xiaofeng
1
;
ZHUANG Jian
1
;
CHEN Jimei
1
;
LUO Dandong
1
;
ZHU Weizhong
1
Author Information
1. Guangdong Provincial Key Laboratory of South China Structural Heart Disease, Department of Cardiovascular Surgery, Guangdong Provincial Cardiovascular Institute, Guangdong General Hospital, Guangdong Academy of Medical Sciences, Guangzhou, 510100, P.R.China
- Publication Type:Journal Article
- Keywords:
Delayed sternal closure;
infant, newborn;
arterial switch operation;
median sternotomy incision;
mortality rate
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2018;25(10):834-838
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the application of delayed sternal closure (DSC) following arterial switch operation for neonates with transposition of great arteries (D-TGA). Methods We retrospectively analyzed clinical data of 172 neonates underwent arterial switch operation with transposition of great arteries (D-TGA) between June 1st 2009 and December 31st 2015. These neonates were divided into 2 groups including a DSC group (118 patients with 99 males and 19 females) and a non-DSC group (54 patients with 47 males and 7 females). The outcome of the two groups were compared. Results Preoperative mechanical ventilation(P<0.001), emergency surgery (P=0.023) and extracorporeal circulation time (P<0.001) were the risk factors for delayed sternal closure. The incidence of complications of median sternotomy incision in the DSC group was not higher than that in the non-DSC group. The mortality rate in the DSC group was markedly higher than that in the non-DSC group (P<0.001). However, DSC was not a risk factor for the death of the neonates. Conclusion Delayed sternal closure does not increase the incidence of complications of the median sternotomy incision, nor is it a risk factor for the death of the neonates. Reasonable application of delayed sternal closure is helpful for early postoperative recovery of the neonates.
