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One died before a donor became available and the other underwent successful transplantation at seven months of age and is doingwell 21 months postoperatively.
Humidification will prevent heat loss, preserve ciliary activity and prevent drying of secretions, improving the chances of good respiratory function postoperatively.
Postoperatively, hypoxemia was markedly improved, and was associated with a reduction of the level of pulmonary hypertension, contributing to marked symptomatic improvement.
Following return to the intensive care unit, ventricular function remained poor despite ionotropic support and the child died eight hours postoperatively.
Postoperatively, the collaterals shunt blood to the pulmonary circulation, effectively stealing flow from the abdominal organs.
One to 5 years postoperatively, 3 patients had normal concentrations of coagulation factors.
Early postoperatively caution is advisable in interpreting load-dependent measures of ventricular (and valve) function.
There has been one late death six months postoperatively in a child with a single coronary artery.
Overall survival rates were not significantly different up tofiveyears postoperatively (p=0.18 by the log rank statistic).
The patient showed complete recovery and was discharged from hospital 28 days postoperatively.
In the third case, no regurgitation was observed either postoperatively or at 23 months.
It is interesting to note that spontaneous reduction in size and even closure of the fenestration may occur late postoperatively.
This patient made an uneventful recovery and at the last follow-up, 18 months postoperatively, remains asymptomatic and in sinus rhythm.
They have been followed-up for 20 to 4l months (mean 23.4 months) postoperatively.
The size was again not influenced by association with a ventricular septal defect both pre- and postoperatively.
