Down Sendromlu Çocuklarda Komplet Atriyoventriküler Septal Defektin Cerrahi Onarımı Sonrası Erken Postoperatif Sonuçlar.

Early Postoperative Outcomes After Surgical Repair of Complete Atrioventricular Septal Defects in Children with Down Syndrome Objective: The aim of this study is to evaluate the early postoperative outcomes of children with and without Down syndrome (DS) who underwent complete atrioventricular septal defect repair surgically. Material and Method: In this prospective study, a total of 30 children, 20 of whom had Down syndrome, were admitted to the pediatric intensive care unit following surgical repair of complete atrioventricular septal defect. Results: Children with DS were operated numerically earlier. Median ages were: 16.5 months (4-72) and 23 months (3-48) for DS and Non- Down syndrome (NDS), respectively (p =0.640). There was no early postoperative mortality. The most common arrhythmia was ectopic tachycardia, and the prevalence of ectopic tachycardia was similar between the two groups (p =1). The total rate of non-cardiac complications such as pneumothorax, pleural effusion and infection was significantly higher in children with DS than in children without DS (p =0.032). There was a significantly longer duration of mechanical ventilation of 6.8 hours ((2-37 hours) in children with DS and 1.9 hours (1-4 hours) in the NDS group, respectively, p =0.013). However, there was no statistical difference between the two groups in terms of ICU and hospital stay (9 days (1-37 days) and 4.9 days (0-13 days), respectively, ( p =0.166). Conclusion: The rate of non-cardiac complications in the early postoperative period was significantly higher in children with DS compared to children without DS. [ABSTRACT FROM AUTHOR]