A summary of second systemic pulmonary shunt for congenital heart disease with pulmonary hypoxemia

• Main Authors: Xue-Yong Yang, Xiao-Yong Jing, Zhe Chen, Lun Li, Xiang-Ming Fan, Jun-Wu Su
• Format: Article
• Language: English
• Published: BMC 2020-05-01
• Series: Journal of Cardiothoracic Surgery
• Subjects: Congenital heart disease; Primary or second systemic-pulmonary shunt; Pulmonary hypoxemia; Surgery
• Online Access: http://link.springer.com/article/10.1186/s13019-020-01132-z

Abstract Background There has been an increasing number of children with congenital heart disease that undergo primary or second systemic-pulmonary shunt, while there are few reports on the second systemic-pulmonary shunt. Therefore, this study summarizes the experience of second systemic-pulmonary shunt for congenital heart disease in our hospital. Methods and results Sixty-five children with congenital heart disease who underwent systemic-pulmonary shunt for the second time in our hospital were analyzed. At the early stage after the operation, cyanosis improved and SpO2 significantly increased. One patient died in hospital (1.54%) and the causes of death were aggravated atrioventricular regurgitation, low cardiac output syndrome, and liver failure. Early complications occurred in 18 patients (27.7%). All the children were rechecked in our hospital every 3–6 months and the McGoon index significantly increased. Conclusion Systemic-pulmonary artery shunt can promote pulmonary vascular development, improve cyanosis symptoms, and increase the chance of radical treatment in children with pulmonary vascular dysplasia.