Clinical features and results of recent neonatal cardiac surgery: A review of 82 cases in one hospital.
10.3345/kjp.2007.50.7.665
- Author:
Ki Won OH
1
;
Jung Ok KIM
;
Joon Yong CHO
;
Myung Chul HYUN
;
Sang Bum LEE
Author Information
1. Department of Pediatrics, Surgery College of Medicine, Kyungpook National University, Daegu, Korea. mchyun@knu.ac.kr
- Publication Type:Original Article
- Keywords:
Heart defects;
Congenital;
Cardiovascular surgical procedures;
Newborn
- MeSH:
Acute Kidney Injury;
Arrhythmias, Cardiac;
Arteries;
Blalock-Taussig Procedure;
Cardiopulmonary Bypass;
Cardiovascular Surgical Procedures;
Gyeongsangbuk-do;
Heart Defects, Congenital;
Hospital Mortality;
Humans;
Infant, Newborn;
Intracranial Hemorrhages;
Male;
Mortality;
Postoperative Care;
Postoperative Complications;
Pulmonary Atresia;
Retrospective Studies;
Tetralogy of Fallot;
Thoracic Surgery*;
Ventricular Septum;
Wound Infection
- From:Korean Journal of Pediatrics
2007;50(7):665-671
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: The purpose of this study was to investigate the clinical features and outcome in newborns undergoing cardiac surgery. METHODS: Eighty two neonates underwent heart surgery for congenital heart defect at Kyungpook National University Hospital between March 2000 and February 2006. Patient characteristics (sex, age, diagnosis), pre-operative conditions, operation type, postoperative complications and mortality were reviewed retrospectively. RESULTS: In 82 patients, 41 (50%) were male. The mean age and weight at operation were 12 days and 3.2 kg, respectively. The common cardiac anomalies were complete transposition of the great arteries (TGA), Tetralogy of Fallot (TOF), pulmonary atresia with intact ventricular septum, and single ventricle variants. Fifty seven operations were performed with cardiopulmonary bypass and corrective surgery was done on 54 patients. Arterial switch operation and modified Blalock-Taussig shunt were most frequently performed as corrective and palliative operations, respectively. The early hospital mortality rate was 7%; the late mortality was 3.9%. Complications were acute renal insufficiency, delayed sternal closure, wound infection, arrhythmia, and brain hemorrhage. CONCLUSION: During the last 6 years, the outcomes of cardiac surgery for congenital heart defects in neonates improved by progress in perioperative, anaesthetic, surgical, and postoperative care.
