Purpose: The aim of this study was to assess the surgical and follow-up outcomes in children who operated for aberrant innominate artery.Methods: A total of 15 consecutive patients (12 males, 3 females; mean age 16.3 ± 19.0 months; range 3 months to 6 years) who underwent aortopexy between February 2018 and December 2021 were evaluated. Demographic data, preoperative and postoperative clinical status and postoperative outcomes were retrospectively analyzed.Results: The mean age at operation was 16.3 ± 19.0 months. The median weight was 8.3 kg (range, 7-14.5 kg).There was no complications at intraoperative period.The mean percent degree of tracheal stenosis was 0.68 ± 0.12. The median (range) MV duration, PICU stay, and ward stay of the patients were 2 hours (0-3 hours), 2.5 days (1-4 days), and 5 days (3-8 days), respectively. The mean patients' number of emergency service applications and hospitalization at the preoperative period was 6.2 ± 3.9 / 2.3 ± 1.6 and, at the postoperative period was 3.3 ± 2.2/ 0.9 ± 0.8. In comparison of the preoperative and postoperative service application number and hospitalization number, there was signi cant difference (p<0.005 and 0.006 respectively). No reoperation was required. There was no mortality. Conclusion: Aberrant innominate artery is rarely seen. These pathologies misdiagnosis with different reactive airways. Following the diagnosis, treatment can be achieved by surgery successfully.

Background/Aim: Parallel to the developments in congenital heart surgery, the number of children undergoing resternotomy (redo) heart surgery is increasing. In this specific group of patients, post-operative pneumothorax (PTX) and atelectasis are preventable respiratory complications. However, in the literature, pediatric data are still limited. In this study, we draw attention to the frequency and importance of PTX, a post-operative respiratory complication in redo patients. We investigate the necessity for routine chest X-rays to detect PTX following chest tube removal after closed or open-heart operations for congenital heart disease. Methodsː A total of 554 consecutive pediatric patients who underwent cardiac surgery were analyzed. The study was designed as a retrospective cohort study. The patient’s demographic data, clinical characteristics with chest tube removal, and pathologies detected by chest X-ray were recorded. Patients were divided into non-redo and redo groups or subgroups. Patients who developed PTX (n = 24) were divided into subgroups: asymptomatic or symptomatic and large or small. Data analysis and statistical comparison between the groups were performed with independent-samples t-test or Mann-Whitney U test. Resultsː In 24 (4.3%) of the 554 patients included in the study, PTX was detected in the post-operative evaluation after chest tube removal. Of the PTX cases, 15 (62.5%) were small, and nine (37.5%) were large. Ten (41.6%) patients were symptomatic, while nine patients had large PTX, and one patient with small PTX was identified. There were significantly more cases of large PTX in redo cases than in non-redo cases (P = 0.038). PTX was significantly more symptomatic in redo patients than non-redo patients (P = 0.031). Conclusionː In patients undergoing cardiac surgery for the first time, a detailed clinical assessment reduces the likelihood of post-procedure PTX and makes routine chest X-ray imaging unnecessary. Conversely, clinical follow-up of these patients in terms of PTX should be essential for possible complications. However, clinical signs of late PTX development in the first 24–48 h after chest tube removal in patients undergoing redo cardiac surgery should be followed carefully by the clinician, and chest X-ray imaging should be routinely performed.

Anatomically corrected malposition of the great arteries is a rare cardiac malformation. In this condition the great arteries are abnormally related to each other and to the ventricles, but arise from the anatomically correct ventricles. In patients with atrioventricular concordant and the absence of associated anomalies, the circulation is physiologically normal. However, ventricular septal defect and right ventricular outflow tract stenosis are the most common accompanying pathologies that require surgical intervention. Here, we present a 9-day-old female with anatomically corrected malposition of the great arteries with wide atrial septal defect, mild right ventricular outflow tract stenosis, left juxtaposition of the atriums, and wide malalignment subaortic ventricular septal defect that required aortotomy to close the defect.

No abstract