Tracheostomy after pediatric cardiac surgery: frequency, indications, and outcomes

The Journal of Thoracic and Cardiovascular Surgery
Timothy CottsRobert Gajarski

Abstract

This study was designed to review baseline characteristics and outcomes of children requiring tracheostomy after cardiac surgery. A retrospective review of children under age 2 requiring tracheostomy after cardiac surgery between January 1999 and December 2005 was performed. Indications for tracheostomy, survival, and completion of staged palliation were documented. After cardiac surgery, 59 (1.3%) of 4503 patients with a median age at surgery of 15 days and weight of 3.5 kg required tracheostomy. Median duration from surgery to tracheostomy was 36 days (range 10-145 days). Genetic syndromes or major noncardiac comorbidities were present in 40% of patients. Biventricular repair was performed in 34 patients and univentricular repair in 25. Tetralogy of Fallot variants (29%) and coarctation±ventricular septal defect (21%) constituted the majority of biventricular lesions associated with tracheostomy, whereas unbalanced atrioventricular septal defect and hypoplastic left heart syndrome with highly restrictive atrial septal defect accounted for 52% of the single ventricle group. Indications for tracheostomy included the following: multifactorial (37%), tracheobronchomalacia, (24%), cardiac (12%), bilateral vocal cord paralysis (10%...Continue Reading

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Citations

Mar 21, 2013·Congenital Heart Disease·Geetha ChallapudiSanjeev Aggarwal
Jun 6, 2014·Congenital Heart Disease·John P CostelloDilip S Nath
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