Retrosternal Clots After Fontan Surgery by Systematic Evaluation With Transthoracic Ultrasound.
BNP
congenital heart disease
lung ultrasound
pediatric cardiac surgery
Journal
Journal of cardiothoracic and vascular anesthesia
ISSN: 1532-8422
Titre abrégé: J Cardiothorac Vasc Anesth
Pays: United States
ID NLM: 9110208
Informations de publication
Date de publication:
Apr 2020
Apr 2020
Historique:
received:
16
08
2019
revised:
01
11
2019
accepted:
08
11
2019
pubmed:
10
12
2019
medline:
28
4
2021
entrez:
9
12
2019
Statut:
ppublish
Résumé
Bleeding is a common, serious, and often subtle complication after total cavopulmonary connection surgery. The aim of the present study was to assess the incidence of retrosternal clots after surgery, which were searched for systematically with transthoracic ultrasound. Retrospective study. Single center. Total cavopulmonary surgeries were reviewed from January 2016 to May 2019. Thoracic ultrasound with careful evaluation of the retrosternal area was performed at different postoperative times (12-36 hours, 5-7 days, and before discharge) as completion of routine echocardiography. Among 37 children undergoing total cavopulmonary connection (mean age 5.5 ± 1.8 years [range 2.4-11.7]; mean body surface area 0.7 ± 0.1 m With thoracic ultrasound diagnosis, existence of retrosternal clots was found to be very common after total cavopulmonary connection. Most clots were small or moderate with no clinical effect; however, large clots that required redo surgery also were detected.
Identifiants
pubmed: 31812566
pii: S1053-0770(19)31156-5
doi: 10.1053/j.jvca.2019.11.009
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
951-955Commentaires et corrections
Type : CommentIn
Informations de copyright
Copyright © 2019 Elsevier Inc. All rights reserved.