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Evaluation of postoperative renal functions and its effect on body perfusion in patients with double aortic cannulation

Published online by Cambridge University Press:  30 May 2022

Berra Zumrut Tan Recep Open the ORCID record for Berra Zumrut Tan Recep [Opens in a new window] ,
Aybala Tongut ,
Ali Can Hatemi ,
Eylem Tuncer ,
Abdullah Arif Yilmaz  and
Hakan Ceyran
Berra Zumrut Tan Recep*
Affiliation:
Department of Pediatric Cardiac Surgery, Istanbul Kartal Kosuyolu Yuksek Ihtisas Training and Research Hospital, istanbul, 34325, Turkey
Aybala Tongut
Affiliation:
Children’s National, Washington, DC, USA
Ali Can Hatemi
Affiliation:
Kartal Kosuyolu Training and Research Hospital, Istanbul, Turkey
Eylem Tuncer
Affiliation:
Kartal Kosuyolu Training and Research Hospital, Istanbul, Turkey
Abdullah Arif Yilmaz
Affiliation:
Kartal Kosuyolu Training and Research Hospital, Istanbul, Turkey
Hakan Ceyran
Affiliation:
Kartal Kosuyolu Training and Research Hospital, Istanbul, Turkey
*
Author for correspondence: B. Z. Tan Recep, Department of Pediatric Cardiac Surgery, Istanbul Kartal Kosuyolu Yuksek Ihtisas Training and Research Hospital, Denizer St., Istanbul, Turkey. Tel: 0216505500. E-mail: dr.bzt@hotmail.com
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Abstract

Background:

The optimal visceral preservation method during aortic arch reconstruction is still controversial. It has been thought that double aortic cannulation is effective. Herein, it was aimed to evaluate this technique in providing distal perfusion.

Methods:

A total of 74 patients who underwent arch reconstruction between 2011 and 2019 were included. Patients were grouped according to ventricular physiology and cannulation strategies. Group 1 were univentricle patients, and all had double aortic cannulation. Group 2 were biventricular patients. Group 2A double aortic cannulation-done and Group 2B non-double aortic cannulation were included. Lactate, urea, creatinine values, renal functions, and need for peritoneal dialysis of patients were evaluated.

Results:

There were no complications observed due to descending aortic cannulation in any of the patients. A delayed sternal closure and the need for peritoneal dialysis were more common in the Group 1 (p < 0.01). The preoperative and postoperative 1st- and 2nd-day lactate, urea, and creatinine values in the Group 1 were higher (p < 0.05) when compared with the Group 2A and 2B. The same values were higher in Group 2A than the Group 2B (p < 0.05).

Conclusion:

The positive effect of double aortic cannulation on renal dysfunction could not be demonstrated. This may be associated with a <1 month of age, low weight, complex surgical procedure, and high preoperative lactate, urea, and creatinine values in patients with double aortic cannulation.

Keywords

Arch hypoplasiarenal dysfunctiondouble aortic cannulation
Type
Original Article
Information
Cardiology in the Young , Volume 33 , Issue 5 , May 2023 , pp. 733 - 740
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Copyright
© The Author(s), 2022. Published by Cambridge University Press

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