Surgery of coronary artery fistula combined with other intracardiac malformations in 14 children

Abstract:

Objective：To summarize the clinical experience and the effectiveness of surgery on coronary artery fistula with other in－tracardiac malformations in children. Methods：A total of 14 children （nine males and five females），aged 0.25-13.25 years old [mean （2.95±3.47） years old]，weighed 2.8-37 kg [mean（10.98±8.87） kg] and underwent surgery of coronary artery fistula combining with other intracardiac malformations in our department from March 2010 to June 2018 were included and retrospectively analyzed in this study. Results：All included children were operated successfully，with operation time of 105-305 min [mean（183.36±48.64） min]，cardiopulmonary bypass time of 40-172 min [mean（91.29±31.49） min]，aortic occlusion time of 16-107 min [mean（45.93±25.64） min]，postoperative hospitalization of 7-19 d [mean（10.79±3.14） d]，intensive care time of 1-9 d [mean（3.21±2.04） d]，postoperative ventilator assisted breathing time of 2h 44 min-6 d[mean（18.73±37.38） h] and intraoperative bleeding of 5-50 mL [mean（18.93±15.71） mL]. After operation，there were two children had pulmonary consolidation，two children had pleural effusion，one child had pneumothorax，one child had pericardial effusion，one child had complete right bundle branch block and one child had pericardial tamponade and emergency beside thoracotomy. No death occurred in the group. After a follow-up of 6 months-3 years，all included children didn’t experience in-hospital operation again and had good long-term survival. Conclusion：Diagnosed coronary artery fistula with other intracardiac malformations in children should be treated early，and the effectiveness of surgery is good.