Korean J Pediatr.  2007 Jul;50(7):665-671. 10.3345/kjp.2007.50.7.665.

Clinical features and results of recent neonatal cardiac surgery: A review of 82 cases in one hospital

• Oh KW
• Kim JO
• Cho JY
• Hyun MC
• Lee SB

• KMID: 2278463
• DOI: http://doi.org/10.3345/kjp.2007.50.7.665

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.

Keyword

Heart defects; Congenital; Cardiovascular surgical procedures; Newborn

MeSH Terms

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