{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,6,21]],"date-time":"2025-06-21T05:40:07Z","timestamp":1750484407601,"version":"3.41.0"},"reference-count":30,"publisher":"Cambridge University Press (CUP)","issue":"3","license":[{"start":{"date-parts":[[2009,4,6]],"date-time":"2009-04-06T00:00:00Z","timestamp":1238976000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cardiol Young"],"published-print":{"date-parts":[[2009,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n\t  <jats:sec id=\"S1047951109004004_abs1\" sec-type=\"intro\">\n\t    <jats:title>Introduction<\/jats:title>\n\t    <jats:p>There is a high incidence of scoliosis in patients who have undergone cardiothoracic surgery for correction of congenital cardiac disease, this risk being 10 times higher than in the general population.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1047951109004004_abs2\" sec-type=\"materialsandmethods\">\n\t    <jats:title>Materials and methods<\/jats:title>\n\t    <jats:p>So as to analyse the surgical and postoperative complications, we designed a retrospective study to include every child who underwent spinal orthopaedic surgery, and who had previously undergone cardiothoracic surgery because of a congenital cardiac malformation. We excluded those patients who had syndromes associated with the development of scoliosis.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1047951109004004_abs3\" sec-type=\"results\">\n\t    <jats:title>Results<\/jats:title>\n\t    <jats:p>We identified 18 patients with surgically treated congenital cardiac disease who had undergone surgery for scoliosis over a period of 7 years. This group came from a total number of 87 patients undergoing spinal fusion over the same period. Of those with congenitally malformed hearts, 61% had acyanotic lesions, with ventricular septal defect being the most frequent single lesion, present in 40%. All the patients needed blood transfusions during the surgery, with aprotinin used in 73% to reduce the bleeding, and inotropes needed for 4 children. During the immediate postoperative period, 1 patient died in the first 24 hours, while 7 (39%) had different complications, pneumonia in 4, pleural effusions in 2, and rhabdomyolysis in the other, as opposed to a rate of complications of 27% in patients without heart disease.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1047951109004004_abs4\" sec-type=\"conclusion\">\n\t    <jats:title>Conclusion<\/jats:title>\n\t    <jats:p>The surgical and postoperative complications in these patients depend on the specific cardiac lesion. A multidisciplinary team with experience in the treatment of congenitally malformed hearts is essential for appropriate management of these patients.<\/jats:p>\n\t  <\/jats:sec>","DOI":"10.1017\/s1047951109004004","type":"journal-article","created":{"date-parts":[[2009,4,6]],"date-time":"2009-04-06T08:27:18Z","timestamp":1239006438000},"page":"272-277","source":"Crossref","is-referenced-by-count":11,"title":["Complication of surgery for scoliosis in children with surgically corrected congenital cardiac malformations"],"prefix":"10.1017","volume":"19","author":[{"given":"C\u00e9sar","family":"P\u00e9rez-Caballero","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elena","family":"Sobrino","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jos\u00e9 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