@article {216331, title = {Neonatal congenital heart surgery: contemporary outcomes and risk profile.}, journal = {Journal of cardiothoracic surgery}, volume = {17}, year = {2022}, pages = {80}, abstract = {

OBJECTIVE: Many studies still dispute the identification of independent risk factors that influence outcome after neonatal cardiac surgery. We present our study to announce the contemporary outcomes and risk profile of neonatal cardiac surgery at our institute.

METHODS: We designed a retrospective study of neonatal patients who underwent surgery for congenital heart diseases between June 2011 and April 2020. Demographic, operative, and postoperative data were collected from medical records and surgical databases. The primary outcome was the operative mortality (in-hospital death) and secondary outcomes included hospital length of stay, intensive care unit stay, duration of mechanical ventilation.

RESULTS: In total, 1155 cardiac surgeries in children were identified; of these, 136 (11.8\%) were performed in neonates. Arterial switch operations (48 cases) were the most frequent procedures. Postoperatively, 11 (8.1\%) patients required extracorporeal membrane oxygenation, and 4 (2.9\%) patients had complete heart block. Postoperative in-hospital mortality was 11\%. The median postoperative duration of mechanical ventilation, intensive care unit stay, and hospital length of stay were 6, 18, and 24~days, respectively.

CONCLUSION: The early outcomes of neonatal cardiac surgery are encouraging. The requirement of postoperative extracorporeal membrane oxygenation support, postoperative intracranial hemorrhage, and acute kidney were identified as independent risk factors of mortality following surgery for congenital heart defects in neonates.

}, attachments = {https://scholar.cu.edu.eg/sites/default/files/adohain/files/neonatal_congenital_heart_surgery_contemporary_outcomes_and_risk_profile.pdf}, author = {Elassal, Ahmed Abdelrahman and Al-Radi, Osman Osama and Debis, Ragab Shehata and Zaher, Zaher Faisal and Abdelmohsen, Gaser Abdelmohsen and Faden, Mazen Shamsaldeen and Noaman, Nada Ahmed and Elakaby, Ahmed Ragab and Abdelmotaleb, Mohamed Esam and Abdulgawad, Ahmed Mostafa and Elhudairy, Mohamed Saleh and Jabbad, Abdulla Husain and Ahmed Abdelaziz Ismail and Aljohani, Norah Bakheet and Alghamdi, Arwa Mohammed and Dohain, Ahmed Mohamed} }