Retrospective review of the clinical case of a radical correction of the transposition of the great vessels, complicated by mediasthenitis and sepsis

Ретроспективный обзор клинического случая после радикальной коррекции транспозиции магистральных сосудов, осложненной медиастенитом и сепсисом
Rakhima Mekenbayeva 1 * , Shuhrat Marasulov 1, Amangeldy Kerimkulov 1, Bauyrzhan Tuyakbayev 1, Anar Sarsembayeva 1, Timur Sarsengaliyev 2, Raushangul Nygymanbekova 3, Nigina Mekenbayeva 4, Arman Akseitov 4
More Detail
1 Pediatric Cardiac Surgery Department, National Scientific Medical Center, Nur-Sultan city, Republic of Kazakhstan
2 Radiodiagnosis Department, National Scientific Medical Center, Nur-Sultan city, Republic of Kazakhstan
3 Cardiology Department, National Scientific Medical Center, Nur-Sultan city, Republic of Kazakhstan
4 Astana Medical University, Nur-Sultan city, Republic of Kazakhstan
* Corresponding Author
J CLIN MED KAZ, Volume 2, Issue 52, pp. 59-62. https://doi.org/10.23950/1812-2892-JCMK-00672
OPEN ACCESS 2666 Views 2606 Downloads
Download Full Text (PDF)

ABSTRACT

In the century of advanced technology, medicine has leaped forward, which contributed to the possibility of correcting such severe congenital heart defects in children as the transposition of great vessels. However, despite the progress in medicine and compliance with the rules of asepsis and antisepsis, infection of the postoperative wound remains one of the frequent and terrible postoperative complications, worsening the prognosis and increasing the risk of mortality. In this retrospective analysis, we consider a clinical case of a radical correction of the great vessels transposition with a complication that has arisen (wound infection) in the early and late postoperative period. The relevance of the article lies in the fact that we studied international experience in managing patients with this complication and applied it in this clinical case in a child with transposition of great vessels, who underwent several cardiac and thoracic operations complicated by wound infection, sepsis, DIC-syndrome with significant deficit bone skeleton of the chest. The child’s condition improved significantly: infectious complications were stopped, signs of heart failure decreased. The child is observed for 7 years, the observation will continue.

CITATION

Mekenbayeva R, Marasulov S, Kerimkulov A, Tuyakbayev B, Sarsembayeva A, Sarsengaliyev T, et al. Retrospective review of the clinical case of a radical correction of the transposition of the great vessels, complicated by mediasthenitis and sepsis. Journal of Clinical Medicine of Kazakhstan. 2019;2(52):59-62. https://doi.org/10.23950/1812-2892-JCMK-00672

REFERENCES

  • Belozerov Ju.M. Detskaya kardiologiya (Children’s cardiology) [in Russian]. MEDpress-inform. 2004; 159.
  • Richard A. Jonas. Surgical treatment of congenital heart defects. 2004; 261-267.
  • V.N. Zaporozhan, I.L. Babij, S.R. Galich, et al. Congenital malformations: Practical guide. Odessa:ONMedU. 2012; 320.
  • Surgical treatment of the great vessels transposition in children. Republican Center for Health Development, Ministry of Health of the Republic of Kazakhstan. Clinical protocols of the Ministry of Health of the RK 2015.
  • Vos RJ, Van Putte BP, Kloppenburg GTL. Prevention of deep sternal wound infection in cardiacsurgery, review of literature. J Hosp Infect. 2018; 100(4):411-420 https://doi.org/10.1016/j.jhin.2018.05.026