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276318

Children Surviving Post-Univentricular Repair: Single Center Experience

Article

Last updated: 22 Jan 2023

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Abstract

Background: The children population who underwent single ventricle repair is growing in number with longer follow up periods and increased frequency of complications.
Aim of work: To evaluate the outcome and complications post Glenn and Fontan single ventricle repair in children.
Material and Methods: A retrospective study of data within files of all surviving patients post univentricular surgical repair, who were following up at Post Cardiac Interventions Clinic in Cairo University Children Hospital from October 2007 until October 2020. 
Results: The files of 113 patients were enrolled in the study, 93 (82.3%) of them were post Glenn operation. Their mean± SD age at the time of the operation was 1.4± 0.9years, and mean follow up duration of 8.3 ±3 years. The study included 20 (17.7%) patients post Fontan operation, with a mean age at the time of the operation of 7.82± 1.63years, and mean follow up duration of  4.75 ±0.08 years. They were 77 (68.15%) males, and 36(31.85%) females. Complications post Glenn operation were heart failure in 34(36.5%) patients, pericardial and pleural effusion in 4 (4.3%) and hypoalbuminemia in 2 (2.15%). Complications post Fontan were heart failure in 4 (20%) patients, arrhythmia in 2 (10%), and protein losing enteropathy in 2 (10%). Frequency  of complications was not related to the age at the time of the Glenn and Fontan operation (p =0.793) and (p=0.079) respectively. 
Conclusion: Performing Glenn and Fontan at older age was not related to the frequency of complications in our patients. Heart failure was the most common complication post Glenn and Fontan operations.  

DOI

10.21608/cupsj.2022.176792.1087

Keywords

single ventricle, Glenn, Fontan, outcomes, children

Authors

First Name

Lamiaa Abdelrahman

Last Name

Ibrahim

MiddleName

-

Affiliation

Department of Pediatrics, Faculty of Medicine, Cairo University, Egypt

Email

dr.lamiaa@me.com

City

giza

Orcid

0000-0003-1365-5463

First Name

Fatma Al Zahraa

Last Name

Mostafa

MiddleName

-

Affiliation

Department of Pediatrics, Faculty of Medicine, Cairo University, Egypt

Email

fatmaalzahraah@hotmail.com

City

cairo

Orcid

0000-0002-9624-2375

First Name

Baher

Last Name

Hanna

MiddleName

-

Affiliation

Department of Pediatrics, Faculty of Medicine, Cairo University, Egypt

Email

baherhanna@gmail.com

City

Cairo

Orcid

0000-0001-5252-8403

First Name

Noha

Last Name

Abd El Salam

MiddleName

Ali

Affiliation

Department of Pediatrics, Faculty of Medicine, Cairo University, Egypt

Email

nohaali99999@yahoo.com

City

-

Orcid

-

Volume

3

Article Issue

1

Related Issue

35726

Issue Date

2023-01-01

Receive Date

2022-11-24

Publish Date

2023-01-01

Page Start

38

Page End

43

Print ISSN

2805-279X

Online ISSN

2682-3985

Link

https://cupsj.journals.ekb.eg/article_276318.html

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https://cupsj.journals.ekb.eg/service?article_code=276318

Order

5

Type

Original Research

Type Code

1,229

Publication Type

Journal

Publication Title

Pediatric Sciences Journal

Publication Link

https://cupsj.journals.ekb.eg/

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Details

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Article

Created At

22 Jan 2023