Author/Authors :
Allah Sadeghi, Hasan Rajaie Cardiovascular, Medical, and Research Center - Iran University of Medical Sciences, Tehran, I R Iran. , Ahmad Pour, Reza Clinical Research Development Center - Loghman Hakim Hospital - Shahid Beheshti University of Medical Sciences, Tehran, I R Iran , Nikpajouh, Akbar Rajaie Cardiovascular, Medical, and Research Center - Iran University of Medical Sciences, Tehran, I R Iran , Shahrbaf, Mohamad Amin Shahid Beheshti University of Medical Sciences, Tehran, I R Ira , Sadeghi, Sarina Faculty of Medicine - Iran University of Medical Sciences, Tehran, I R Iran
Abstract :
Background: Pulmonary morbidity is a common complication of cardiac surgery, and the most
common type of morbidity is atelectasis. The risk factors related to pulmonary morbidities and
atelectasis have been previously explored in coronary artery bypass graft and valvular surgery.
In this study, we sought to determine the risk factors related to atelectasis after adult congenital
heart disease surgery (ACHDS).
Methods: This cross-sectional study was conducted on 43 patients (mean=36.3 and SD=16.37) who
underwent ACHDS. The risk factors related to atelectasis were identified using a questionnaire
which contained demographic factors, types of CHD, underlying diseases, and the length of
postoperative stay in bed. The collected data were subsequently analyzed with SPSS.
Results: Of the 43 patients, only 3 (7%) had atelectasis after ACHDS. The tetralogy of Fallot surgery
and delayed postoperative ambulation (>24 h) had a P value of 0.027 and 0.000, respectively.
The other factors had P values higher than 0.05 and were, thus, not related to atelectasis.
Conclusions: The tetralogy of Fallot surgery and delayed postoperative ambulation (>24 h) were
associated with the rate of atelectasis after ACHDS.
Keywords :
Pulmonary atelectasis , Congenital heart defect , Cardiac surgical procedures , Thoracic surgery
