Page 127 - Abstract Book KONIKA 18

Cardiology

P-CAR-021 (Prime e-Poster)
Predictor Factors for Mortality in Patients after the Modified Blalock-Taussig
Shunt Procedure in Developing Countries: A Retrospective Study

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Putri Amelia , Najib Advani , Aman B. Pulungan , Mulyadi M. Djer , Badriul Hegar ,
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Yogi Prawira , Rubiana Sukardi 3
Department of Child Health, Faculty of Medicine, Universitas Sumatera Utara , Department of Child Health,
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Faculty of Medicine, Universitas Indonesia , Center of Integrated Cardiac Service,
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Dr. Cipto Mangunkusumo Hospital , Jakarta, Indonesia
Abstract
Background Blalock Taussig (BT) is a palliative procedure that preserves blood circulation to the lungs and
prevents cyanosis in patients with congenital heart diseases and reduced pulmonary blood flow. BT shunt
remains a routinely performed procedure in developing countries before definitive surgery. However, evidence
on predictors factors of mortality after this procedure is still scarce in Indonesia. Objective To evaluate the
predictive factors of mortality after the BT shunt procedure. Methods This retrospective study evaluated the
medical record data of all postoperative BT shunt patients at Dr. Cipto Mangunkusumo Hospital, Jakarta,
Indonesia, from 2016 to 2020. We performed univariate and multivariate analysis to identify the predictors
of in-hospital mortality. Results The total subjects in this study were 197 children, 107 (54.3%) boys, and
90 (45.7%) girls. The median values for age and body weight at the time of surgery were 20 months (11 days
– 32 years) and 7.9 (2.7-42) kg. The most prevalent diagnosis was the Tetralogy of Fallot, which was found
in 80 (40.6%) patients. In-hospital postoperative mortality was 20.8% (41 patients). Based on multivariate
analysis, predictors associated with mortality were weight <4.25 kg (OR 20.9; 95%CI 7.4 to 59.0; P<0.0001)
and emergency procedures (OR 3.5; 95%CI 1.3 to 9.5; P=0.016). Conclusion The mortality rate after BT
shunt at PJT Rumah Sakit Cipto Mangunkusumo was 20.8%. Based on multivariate analysis, weight <4.25
kg and emergency procedures are two predictors of mortality in BT shunt.
Keywords: Blalock Taussig shunt; congenital heart disease; Indonesia; mortality

P-CAR-022
Diagnostic Accuration of Congenital Heart Disease
Based on Clinical Presentation in Neonates

Erick Kristianto Adityatama, Astra Parahita, Arsita Eka Rini, Anindita Soetadji
Departement of Child Health, Faculty of Medicine Universitas Diponegoro/Dr. Kariadi General Hospital,
Semarang, Central Java, Indonesia

Abstract
Background Congenital heart disease (CHD) is the most common congenital abnormality. Clinical
presentation of CHD in neonates has similarities with the non-cardiac disease that makes diagnosing CHD
based on clinical presentation is challenging. Objective To study the accuracy of diagnosing CHD in neonates
clinically by echocardiography examination. Methods Data was collected from medical records of neonates
who underwent echocardiography from January 2019 to July 2021. Distribution of birth weight, gestational
age, gender, delivery method, the indication of echocardiography, and types of cardiac abnormality found
in echocardiography was studied. Results There were 375 neonates who underwent echocardiography
examination to rule out CHD due to suspicion of having CHD from clinical examination. Sixty-four percent
(64 %) neonates confirmed having CHD, while 36 % were normal. The most indication for consultation was
the difficulty of weaning oxygen (38.4 %), prematurity (37 %), and cardiac murmur (3.8 %). Most types of
CHD were acyanotic CHD (86%). Acyanotic CHD was consist of the atrial septal defect (15.2 %), patent
ductus arteriosus (8.3%), and ventricle septal defect (5.1 %). Cyanotic CHD showed TOF (2.2%), DORV
(1.6%), and variation of complex cyanotic heart disease (13.4%) including pulmonary duct-dependent
circulation. Conclusion Two-third of neonates with suspicion of having CHD based on various clinical
presentations were confirmed having CHD.
Keywords: congenital heart disease; echocardiography; neonates

KONIKA XVIII Abstract Book 79