Association between cardiopulmonary bypass duration and early major adverse cardiovascular events after surgical repair of supravalvular aortic stenosis

Frontiers in Cardiovascular Medicine, Journal Year: 2025, Volume and Issue: 12

Published: Jan. 21, 2025

Background Patients who underwent surgical repair of supravalvular aortic stenosis (SVAS) are at high risk for postoperative major adverse cardiovascular events (MACE). This study aimed to investigate the association between cardiopulmonary bypass (CPB) duration and MACE occurring during hospitalization or within 30 days post-surgery. Methods SVAS from 2002 2019 Beijing Fuwai Hospital Yunnan were included in this study. stratified into “CPB >2 h” ≤2 groups based on intraoperative CPB duration. Various statistical methodologies employed early MACE, including multivariate adjustment, propensity score matching, logistic regression weighting. Results 297 participants 164 finally matched. In score-matched cohort, was positively associated with (odds ratio = 18.13; 95% confidence interval 2.33–140.86; P 0.006). Consistent results obtained Inverse probability treatment-weighted, standardized mortality ratio-weighted, pairwise algorithmic-weighted, overlap-weighted models. Conclusion h a higher compared those h. emphasized significance minimizing exposure prognosis patients SVAS.

Language: Английский

Surgical Removal of Pulmonary Flow Restrictors in Children with Congenital Heart Disease: What the Outcomes Reveal

JTCVS Open, Journal Year: 2024, Volume and Issue: 23, P. 235 - 244

Published: Nov. 29, 2024

Language: Английский