Thiamine levels in Indonesian children with congenital heart diseases undergoing surgery using cardiopulmonary bypass machine

Abstract

Background This study evaluated thiamine levels in Indonesian children with congenital heart diseases before and after cardiopulmonary bypass and their relationship with clinical and surgical outcomes. Method A prospective, single center cross-sectional study was conducted to evaluate thiamine levels in 25 children undergoing congenital heart diseases surgery with cardiopulmonary bypass procedure. Thiamine levels were quantified using a high-performance liquid chromatography method. Result Preoperative thiamine deficiency was observed in one subject. Thiamine levels did not differ statistically between nutritional status and clinical outcomes categories. There were no significant changes in thiamine levels before and after cardiopulmonary bypass (median pre versus post (P25–75): 50 ng/mL (59.00–116.00) and 83.00 ng/mL (70.00–101.00), p = 0.84), although a significant reduction in thiamine levels were observed with longer cardiopulmonary bypass duration ( p = 0.017, R = −0.472). Conclusion Thiamine levels were not significantly impacted by cardiac surgery except in patients undergoing extremely long cardiopulmonary bypass duration. However, clinical outcome was not affected by thiamine levels.

Efficacy and Safety of Minimally Invasive Transcatheter Closure of Congenital Heart Disease under the Guidance of Transesophageal Ultrasound: A Randomized Controlled Trial

“…Transthoracic minimally invasive transcatheter closure is a new hybrid technique which integrates internal and surgical techniques. In 2007, Marwali Eva et al first carried out minimally invasive transcatheter closure of membranous VSD under the guidance of ultrasound, transsternal segment, and non-CPB [ 19 ]. This technique avoids the shortcomings of CPB and significant trauma repaired by surgery and radiation injury caused by percutaneous interventional therapy in internal medicine.…”