Pulmonary Functions Before and After Pediatric Cardiac Surgery

This study aimed to assess pulmonary functions before and after cardiac surgery in infants with congenital heart diseases and pulmonary overflow and to clarify which echocardiographic parameter correlates best with lung mechanics. Between 2008 and 2009, 30 infants with left-to-right shunt congenital...

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Bibliographic Details
Published in:Pediatric cardiology 2014-03, Vol.35 (3), p.542-549
Main Authors: Agha, Hala, Heinady, Fatma El, Falaky, Mona El, Sobih, Alae
Format: Article
Language:English
Subjects:
Analysis
Cardiac Surgery
Cardiac Surgical Procedures
Cardiology
Children
Congenital heart disease
Echocardiography
Female
Genetic disorders
Health aspects
Heart Defects, Congenital - diagnostic imaging
Heart Defects, Congenital - surgery
Heart diseases
Humans
Infant
Longitudinal Studies
Lung - abnormalities
Lung - diagnostic imaging
Lung - physiopathology
Male
Medicine
Medicine & Public Health
Original Article
Pediatric cardiology
Postoperative Period
Preoperative Period
Prospective Studies
Pulmonary function tests
Respiratory Function Tests
Treatment Outcome
Vascular Surgery
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Summary:This study aimed to assess pulmonary functions before and after cardiac surgery in infants with congenital heart diseases and pulmonary overflow and to clarify which echocardiographic parameter correlates best with lung mechanics. Between 2008 and 2009, 30 infants with left-to-right shunt congenital acyanotic heart diseases who had indications for reparative surgery of these lesions were assessed by echocardiography and infant pulmonary function tests before the operation and 6 months afterward. Tests using baby body plethysmography were performed to assess the following infant pulmonary functions: tidal volume, respiratory rate, respiratory system compliance ( C rs ) and respiratory system resistance, functional residual capacity (FRC), and airway resistance. The mean age of the patients was 10.47 ± 3.38 months, and their mean weight was 6.81 ± 1.67 kg. Ventricular septal defect and combined lesions were the predominant cardiac diseases (26.7 %). Comparison of the infant pulmonary function tests showed a highly significant improvement in all the parameters between the preoperative and 6-month postoperative visits ( p  
ISSN:0172-0643
1432-1971
DOI:10.1007/s00246-013-0821-2