Онлайн (Онлайн)ISSN 2313-1519
Баспалық (Печатный) ISSN 1812-2892
Тұжырымдама (Резюме) - Retrospective review of the clinical case of a radical correction of the transposition of the great vessels, complicated by mediasthenitis and sepsis
Rakhima Mekenbayeva, Shuhrat Marasulov, Amangeldy Kerimkulov, Bauyrzhan Tuyakbayev, Anar Sarsembayeva, Timur Sarsengaliyev, Raushangul Nygymanbekova, Nigina Mekenbayeva, Arman Akseitov


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.

Key words: congenital heart defect, great vessels transposition, open arterial duct, interatrial septum defect, interventricular septum defect

Corresponding author: Rackhima Mekenbayeva, Pediatric Cardiac Surgery Department, National Scientific Medical Center. Address: 71, Mailin street, 010001 Nur-Sultan city, Republic of Kazakhstan. Tel: +7 705 485-75-81.  E-mail:



1.  Belozerov Ju.M. Detskaya kardiologiya (Children's cardiology) [in Russian]. MEDpress-inform. 2004; 159.

2.  Richard A. Jonas. Surgical treatment of congenital heart defects. 2004; 261-267.

3.  V.N. Zaporozhan, I.L. Babij, S.R. Galich, et al. Congenital malformations: Practical guide. Odessa:ONMedU. 2012; 320.    

4. 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.  

5.  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

Көлем (Объем) 2, Сан (Число) 52 (2019)