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Cardiac Surgery in Cleft Lip and Cleft Palate Children: Srinagarind Hospital Experience
Insights
Congenital heart disease (CHD) is common in cleft lip/palate patients in Thailand. Surgical management requires a multidisciplinary team approach for successful outcomes.
Area of Science:
- Cardiology
- Pediatric Surgery
- Craniofacial Surgery
Background:
- Congenital heart disease (CHD) frequently co-occurs with craniofacial anomalies.
- Cleft lip and cleft palate are common craniofacial anomalies.
- Limited data exists on CHD management in Thai cleft lip/palate patients.
Purpose of the Study:
- To report surgical practices for CHD in patients with cleft lip/palate in Thailand.
- To describe the patterns of care and outcomes.
Main Methods:
- A descriptive, hospital-based study was conducted from 1996 to 2013.
- Data was collected from patients with cleft lip/palate and associated CHD at Srinagarind Hospital.
- Surgical interventions and perioperative complications were reviewed.
Main Results:
- Out of 2,600 cleft lip/palate cases, 60 (2.3%) had CHD.
- Eleven patients underwent heart surgery, including open-heart procedures, PDA ligation, and Blalock-Tausig shunts.
- Aspirated pneumonia was the most frequent perioperative complication; no 30-day mortality was observed.
Conclusions:
- CHD is a significant concern in cleft lip/palate patients.
- A multidisciplinary team approach is crucial for effective management.
- Cardiac surgery should be performed when clinically indicated, regardless of the timing.
Background:
Congenital heart disease is one of the common incidents associated with craniofacial anomalies.
Objective:
To date, there are no published studies from Thailand on review experience regarding operation of congenital heart disease in cleft lip/cleft palate patients. This study aims to report the patterns of our practices in those patients.
Material And Method:
A hospital-based, descriptive study during 1996-2013 in congenital heart disease associated with cleft lip/cleft palate in Srinagarind Hospital, Faculty of Medicine, Khon Kaen University, Khon Kaen Province, Thailand.
Results:
During the period of study there were 2,600 cases of cleft lip/cleft palate. Congenital heart disease was found in 60 patients (2.3%). Only 11 patients had heart surgery performed, 7 patients were operated on by open heart surgery, 2 PDA (Patent Ductus Arteriosus) ligation and 2 Blalock-Tausig shunts. The most common perioperative complication was aspirated pneumonia. No 30-day mortality occurred.
Conclusion:
Congenital heart disease in cleft lip and cleft palate patients is not uncommon. A multidisciplinary team approach is the key to success in management. Heart operation can be performed at anytime if clinically indicated.