Suprahepatic Approach for Peritoneal Dialysis in Neonatal Cardiac Surgery

Kumar, Dharmapuram Anil; Cartmill, Timothy B.; Rao, Ivatury M.

doi:10.1177/021849230301100423

Cited by 3 publications

(1 citation statement)

References 4 publications

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“…Important contributions of the Mafraq group continued. [ 22 23 24 25 ] In 2002, Drs. Anil Kumar Dharmapuram and IM Rao pioneered single-patch technique of A_V canal septal defect in 15 infants.…”

Section: Neonatal Surgery In Uae (1995–2007)mentioning

confidence: 99%

Developing congenital heart surgery in India: The travails and triumphs of a pioneer

Ivatury

2018

Ann Pediatr Card

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Section: Neonatal Surgery In Uae (1995–2007)mentioning

confidence: 99%

Developing congenital heart surgery in India: The travails and triumphs of a pioneer

Ivatury

2018

Ann Pediatr Card

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Techniques of inserting peritoneal dialysis catheters in neonates and infants undergoing open heart surgery

Murala

Singappuli

Provenzano

et al. 2010

The Journal of Thoracic and Cardiovascular Surgery

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Surgeries in Neonates and Small-Weight Babies With Congenital Heart Diseases: Challenges and Gratification

Dharmapuram

Ramakrishnan

Goutami

et al. 2020

Indian Journal of Clinical Cardiology

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Background: Complex cardiac surgery in neonates and small-weight babies is a challenge. In addition to the surgical expertise and skill required, accurate diagnosis, management of anesthesia, perfusion, and postoperative critical care are equally challenging. Methods: We have analyzed the data of 4 different examples of complex cardiac surgery in neonates and small-weight babies from February 2012 to July 2019 in our unit. The first group included 118 cases of arterial switch operations for transposition of great arteries with and without ventricular septal defect (group 1). The second group included 52 patients of aortic arch repair from midline using selective cerebral perfusion avoiding total circulatory arrest (group 2). The third group included 75 patients of repair of coarctation of aorta from thoracotomy using the modified end-to-side technique (group 3). The fourth group included 40 neonates and small-weight babies who underwent repair of total anomalous pulmonary venous connection (group 4). Results: In group 1, there was hospital mortality in 6 babies. In group 2, there was no hospital mortality. In group 3, there was 1 hospital death; in group 4, there were 5 hospital deaths. The major contributing cause of death was respiratory or blood-borne infection causing respiratory issues leading to prolonged ventilation. Left diaphragm palsy contributed to morbidity and eventual death in 2 babies. Only 2 patients required tracheostomy to wean off the ventilator. Conclusions: In the present day, it is possible to achieve satisfactory results with acceptable mortality in neonatal cardiac surgery. Morbidity associated with very early repair in neonatal age, low weight, and infection-related issues is manageable with good outcomes.

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Suprahepatic Approach for Peritoneal Dialysis in Neonatal Cardiac Surgery

Abstract: For peritoneal dialysis of neonates after cardiac surgery under cardiopulmonary bypass, a Tenckhoff catheter was inserted via the sternotomy wound and guided suprahepatically into the abdomen. The technique was used in 84 neonates and found to be safe, simple, and reproducible.

Cited by 3 publications

References 4 publications

Developing congenital heart surgery in India: The travails and triumphs of a pioneer

Developing congenital heart surgery in India: The travails and triumphs of a pioneer

Techniques of inserting peritoneal dialysis catheters in neonates and infants undergoing open heart surgery

Surgeries in Neonates and Small-Weight Babies With Congenital Heart Diseases: Challenges and Gratification

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