Abstract
Objective: to analyze the features of the postoperative course after tetralogy of Fallot (TF) repair in children aged 3–6 months.
Material and methods. Radical correction (RK) of the tetralogy of Fallot is successfully performed in many modern cardiosurgical clinics. However, the choice of the optimal age for this operation is still controversial. The paper presents a comparative analysis of the course of the early postoperative period in patients of different age groups: 3–6 months and 6 months – 2 years.
Results. Patients aged 3–6 months in the early postoperative period after tetralogy of Fallot repair require longer respiratory and inotropic support. Respiratory-associated complications of inflammatory nature (tracheitis, bronchitis, pneumonia) were regularly observed in patients aged 3–6 months, which is associated with the need for long-term respiratory support in patients of the second group. According to echocardiography, in the second group of patients, the right ventricular systolic pressure was significantly higher during the entire period of postoperative follow-up. Patients aged 3–6 months needed both a longer stay in the intensive care unit (ICU) and longer inpatient treatment. There were no dead patients in any of the groups.
Conclusion. Implementation of RK TF at the age of 3–6 months increases both the duration of stay in the ICU, and the duration of hospitalization in general, but does not affect mortality.
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About the authors
- Shcheglova Klara Tamirlanovna, Anesthesiologist-Intensivist; orcid.org/0000-0001-8468-4806
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Shcheglov Saveliy Evgen'evich, Anesthesiologist-Intensivist; orcid.org/0000-0002-1126-0022
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Gornostaev Aleksandr Aleksandrovich, Head of Department for Anesthesiology and Rususcitation № 2; orcid.org/0000-0002-4477-0037
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Chernogrivov Aleksey Evgen’evich, Dr. Med. Sci., Cardiovascular Surgeon, Hed of Department for Cardiosurgery № 4; orcid.org/0000-0002-6207-4799
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Bazylev Vladlen Vladlenovich, Dr. Med. Sci., Professor, Chief Physician; orcid.org/0000-0001-6089-9722
