Tracheoesophageal fistula and associated congenital heart disease: implications for anesthetic management and survival

Diaz, Laura K.; Akpek, Elif; Dinavahi, Radhika; Andropoulos, Dean B.

doi:10.1111/j.1460-9592.2005.01582.x

Cited by 147 publications

(52 citation statements)

References 20 publications

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“…In the present study, ASD, VSD, and PDA were the most frequent anomalies in the EA/TEF patients. Mortality rates of GISM cases particularly suffering from cardiac malformations have decreased significantly with early diagnosis and treatment when compared with initially reported results (13).…”

Section: Discussionmentioning

confidence: 78%

Gastrointestinal system malformations in children are associated with congenital heart defects

Örün¹,

Bilici²,

Demirçeken³

et al. 2011

Anadolu Kardiyol Derg

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ÖZETAmaç: Gastrointestinal sistem malformasyonlu (GİSM) çocuklarda doğumsal kalp hastalıklarının sıklığını ve mortalite ile ilişkisini saptamak. Yöntemler: Hastanemizin, Çocuk Cerrahisi Kliniğinde GİSM nedeniyle izlenen ve kardiyolojik inceleme yapılan ardışık 242 çocuk hastanın kayıt-ları retrospektif olarak incelenerek, GİSM olan çocuk hastalarda doğumsal kalp defektlerinin (DKH) insidansı araştırılmıştır. Verilerin istatistiksel değerlendirmesinde Ki-kare testi kullanılmıştır. Bulgular: GİSM saptanan, yaşları 0 gün ile 15 yıl arasında değişen 242 hasta değerlendirildi. Hastaların 135'i (%55.8) erkek, 107'si kız (%44.2) idi. En sık görülen gastrointestinal malformasyonları anorektal malformasyon (%43.2), mide, ileum veya kolon atrezisi (%21) ve özofajiyal atrezi/ trakeoözo-fajiyal fistül (%18.3) idi. Hastaların %28.5'inde doğumsal kalp hastalığı saptanmış olup, en sık gözlenen anomaliler; olguların 31'inde (%44.9) atriyal septal defekt, 17'sinde (%24.6) ventriküler septal defekt, 5'inde (%7.2) patent duktus arteriyozus idi. GİSM nedeni ile ameliyat edilen doğumsal kalp hastalığı olan (%16.7) ve olmayan (%13.3) hastalar arasında mortalite açısından anlamlı fark saptanmadı (p>0.05). Sonuç: Gastrointestinal sistem malformasyonu saptanan hastaların erken dönemde kardiyolojik açıdan değerlendirilmesi gerektiği vurgulanmak istenmiştir. (Anadolu Kardiyol Derg 2011; 2: 146-9) Anahtar kelimeler: Gastrointestinal sistem malformasyonu, doğumsal kalp defekti, ekokardiyografi, çocuk, hastalık insidansı ABSTRACT Objective: To determine the frequency of congenital heart defects (CHD) in children with gastrointestinal malformations (GISM) and mortality rates in patients with GISM. Methods: Two hundred and forty two consecutive children patients with GISM followed up in Pediatric Surgery Clinics of our hospital were examined for cardiovascular anomaly by the Department of Pediatric Cardiology, and the CHD incidence was investigated by examining the records of the patients retrospectively. Chi-square test was used for the statistical analysis of data. Results: Two hundred and forty two patients with gastrointestinal system malformations were included in the study. Of 242 patients, 135 (55.8%) were male and 107 (44.2%) were female, and their age range was 0-15 years. The most frequent GISM were anorectal malformations (43.2%), atresia involving stomach, ileum or colon (21%) and esophageal atresia/tracheoesophageal fistula (18.3%). Congenital heart defects were observed in 28.5% of the participants. The most frequent defects were as follows; atrial septal defect (31 patients, 44.9%) a, ventricular septal defect (17 patients, 24.6%) and patent ductus arteriosus (5 patients, 7.2%). There was no significant difference (p>0.05) in mortality rate in patients with CHD (16.7%) and without CHD (13.3%) undergoing operations for GISM. Conclusion: We would like to emphasize the importance of the earliest possible cardiological evaluation of all patients with gastrointestinal system malformations. (Anadolu Kardiyol Derg 2011; 2: 146-9)

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Section: Discussionmentioning

confidence: 78%

Gastrointestinal system malformations in children are associated with congenital heart defects

Örün¹,

Bilici²,

Demirçeken³

et al. 2011

Anadolu Kardiyol Derg

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“…Diaz ve ark. 'nın (16) 1998-2004 arasın-da TÖF/ÖA onarımı ile ilgili anestezi kayıtlarını retrospektif olarak değerlendirdikleri çalışmalarında konjenital kalp hastalığı ile birlikte TÖF/ÖA anomalisi bulunan hastalarda perioperatif mortalite oranını %23 olarak bulmuşlardır.…”

Section: Discussionunclassified

Anesthetic Management of Patients with Esophageal Atresia

Toker¹,

Gülleroğlu²,

Karabay³

et al. 2015

IKSST

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“…Secure intravenous access should be obtained, and some prefer arterial access to monitor blood pressure beat to beat and to sample the blood gases during one-lung ventilation, particularly in infants with signifi cant comorbidity. Neonates with cardiac disease have a greater incidence of critical events such as desaturation or the need for new inotropic support compared with those without cardiac disease as well as a 57 % mortality during the hospitalization for those with ductal-dependent congenital heart disease [ 87 ]. These data underscore the need for a preoperative echocardiogram to identify a possible cardiac defect in all neonates with EA/TEF and, if a heart defect is present, to discuss the need for central venous access.…”

Section: Anesthetic Considerationsmentioning

confidence: 96%