Abstract

Risk of serious neurological complications and mortality in pediatric heart surgery with cardiopulmonary bypass. Cardiology Center (1987-2004). MEDISAN [online]. 2010, vol.14, n.7, pp.956-967. ISSN 1029-3019.

A case-control study was carried out in 121 children who underwent heart surgery with cardiopulmonary bypass at the Cardiology Center of Santiago de Cuba (of 336 total), in the period 1987 - 2004, in order to identify associated factors that influenced the occurrence of serious neurological complications (in 11 of those identified as cases), among which were: type of heart disease (acquired) and total time of perfusion (prolonged). Those chosen as controls without complications added up to 110. The following variables were considered statistically significant: complexity of the operation, time of anoxic arrest and temperature used in cardiopulmonary bypass. The presence of both isolated and associated variables should alert the medical team to the possible occurrence of such complications. This study is the first of its kind made in Cuba.

Keywords : children; pediatric heart surgery; cardiopulmonary bypass; neurological complications; cardiology center; and secondary health care.

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