Reference : Mid-term follow-up after multiple system organ failure following cardiac surgery in c...
Scientific journals : Article
Human health sciences : Pediatrics
http://hdl.handle.net/2268/112976
Mid-term follow-up after multiple system organ failure following cardiac surgery in children.
English
Heying, R. [Rheinisch - Westfälische Technische Hochschule Aachen - RWTH > > > Pediatric Cardiology > > >]
SEGHAYE, Marie-Christine mailto [Rheinisch - Westfälische Technische Hochschule Aachen - RWTH > Pediatric Cardiology > > >]
Grabitz, R. G. [Rheinisch - Westfälische Technische Hochschule Aachen - RWTH > > > Pediatric Cardiology > > >]
Kotlarek, F. [Rheinisch - Westfälische Technische Hochschule Aachen - RWTH > > > Pediatric > > >]
Messmer, B. J. [Rheinisch - Westfälische Technische Hochschule Aachen - RWTH > > > Thoracic and Cardiovascular Surgery > > >]
von Bernuth, G. [Rheinisch - Westfälische Technische Hochschule Aachen - RWTH > > > Pediatric Cardiology > > >]
Nov-1999
Acta Paediatrica
Taylor & Francis
88
11
1238-43
Yes (verified by ORBi)
International
0803-5253
1651-2227
Oslo
Norway
[en] Cardiac Surgical Procedures/adverse effects/methods ; Cardiovascular System/physiopathology ; Child Development/physiology ; Child, Preschool ; Cross-Sectional Studies ; Female ; Follow-Up Studies ; Heart Defects, Congenital/diagnosis/surgery ; Humans ; Infant ; Kidney Function Tests ; Liver Function Tests ; Male ; Monitoring, Physiologic/methods ; Multiple Organ Failure/etiology/mortality ; Neuropsychological Tests ; Prognosis ; Prospective Studies ; Respiratory Function Tests ; Survival Analysis ; Survival Rate
[en] Multiple system organ failure after cardiac surgery in children is a severe complication with unknown mid- and long-term sequelae. We therefore evaluated 11 children (aged 20-126 mo, median: 67 mo) having survived multiple system organ failure after cardiac operations for congenital cardiac defects in a cross-sectional follow-up study 12-76 mo (median: 32 mo) after surgery. Clinical and laboratory examinations included cardiac, pulmonary, renal, hepatic, neurological and psychological function tests. All patients had adequate cardiac function. Lung mechanics were abnormal in three children and glomerular renal function was abnormal in two patients. Slight elevation of gamma-glutamyl transpeptidase and coagulation factor deficiency was present in six and seven patients, respectively (five of whom had undergone the Fontan operation). Severe neurological sequelae such as diplegia (n = 1) and mental retardation (n = 1) were observed in two patients. In addition, five children presented delayed motor, graphomotor and/or speech development. Two children were found to have abnormal intelligence. We conclude that with the exception of neurological impairment, mid-term sequelae of multiple system organ failure after cardiac surgery in children are mild. However, longer follow-up using an appropriate control group is mandatory.
http://hdl.handle.net/2268/112976

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