Abstract:
Objective: To identify the incidence and related factors for
pulmonary complications and its impact on outcome in
patients subjected to surgery for congenital heart disease (CHD).
Methods: The sample comprised 141 patients of both genders,
subjected to surgery for CHD, during 3 months period from
1st July 2014 to 30th September 2014. The data were obtained
from newly improvised Congenital Heart Surgery Database.
Results: Twenty eight (20%) patients developed some form
of pulmonary complications. Age, weight, length and body
surface area are significantly low among them (p <0.05).
They also have higher Aristotle score & RACHS score, higher
CPB time and aortic cross clamp time (p <0.01). Patients
who had pulmonary complications had significantly higher
(p <0.01) vasoactive inotrope score, prolonged mechanical
ventilation, longer post operative ICU stay and post operative
hospital stay. There was no mortality.
Conclusions: Pulmonary complications are common after
surgery for CHD which is more common in small children
and complex surgeries. It significantly affects outcome
including duration of mechanical ventilation and length
of stay but no effect in mortality.
Keywords: Congenital heart disease, post operative,
pulmonary complications.
(J Bangladesh Coll Phys Surg 2017; 35: 52-60)