Cardiac Surgery in Infants Less than Six Weeks of Age

Author:

EDMUNDS L. HENRY1,FISHMAN NOEL H.1,GREGORY GEORGE A.1,HEYMANN MICHAEL A.1,HOFFMAN JULIEN I.E.1,ROBINSON SAUL J.1,ROE BENSON B.1,RUDOLPH ABRAHAM M.1,STANGER PAUL1

Affiliation:

1. From the Departments of Surgery, Anesthesia, and Pediatrics and the Cardiovascular Research Institute, University of California, San Francisco, California.

Abstract

Sixty-one critically ill infants with congenital heart disease had operative treatment within 6 weeks of birth. Anatomic and physiologic diagnoses were established preoperatively by cardiac catheterization and angiography in all. A variety of palliative or corrective operations was performed to relieve specific hemodynamic burdens. Thirty-seven (61%) survived hospitalization, but 18 had one or more postoperative complications. At the present time, 29 (48%) are alive 9-45 months after operation. Although operative mortality and morbidity rates are high, none of these patients was expected to survive early infancy without operation.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Physiology (medical),Cardiology and Cardiovascular Medicine

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