The Early Results of Open Heart Surgery in Neonates / 대한흉부외과학회지
The Korean Journal of Thoracic and Cardiovascular Surgery
;
: 426-433, 2009.
Article
in Korean
| WPRIM
| ID: wpr-35880
ABSTRACT
BACKGROUND:
Remarkable progress has recently been made in achieving successful early repair of congenital heart disease with using cardiopulmonary bypass in the neonatal period. The aim of this study is to evaluate our short-term outcomes for performing neonatal cardiac surgery under extracorporeal circulation. MATERIAL ANDMETHOD:
Fifty five neonates underwent open heart surgery from February 2002 to December 2007. The mean ages and body weight was 13.5 days and 3.2 kg, respectively. The diagnoses of the patients were transposition of the great arteries (14), total anomalous pulmonary venous connection (7), large ventricular septal defect (VSD) (7), coarctation of the aorta with VSD (6), interrupted aortic arch (5) and others (16).RESULT:
Six patients had difficulties being weaned from extracorporeal circulation. Four patients left the operating room with an open sternum. Low cardiac output syndrome and acute renal insufficiency were observed in 3 patients each, respectively. Post-operative complications were observed in 27 patients (49.1%). The postoperative mortality was 12.7% (7 patients); 5 patients experienced early hospital death and 2 experienced late death (2).CONCLUSION:
In our hospital, early surgical repair with extracorporeal circulation in neonates was feasible with tolerable mortality. Further follow-up is required to establish the long-term survival and complications.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Operating Rooms
/
Aorta, Thoracic
/
Aortic Coarctation
/
Arteries
/
Sternum
/
Thoracic Surgery
/
Body Weight
/
Cardiac Output, Low
/
Cardiopulmonary Bypass
/
Follow-Up Studies
Type of study:
Observational study
/
Prognostic study
Limits:
Humans
/
Infant, Newborn
Language:
Korean
Journal:
The Korean Journal of Thoracic and Cardiovascular Surgery
Year:
2009
Type:
Article
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