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Updated: Dec 28, 2025
Author Spotlight: Simulating Pediatric Cardiac Surgery Using a Neonatal Piglet Model
Published on: May 26, 2023
Early Outcomes of Neonatal Cardiac Surgery in India
Vivek V Shukla1, Prashant Bobhate2, Smrutiranjan Mohanty2
1Division of Pediatric Cardiac Surgery and Intensive Care, Kokilaben Dhirubhai Ambani Hospital, Mumbai, India. Correspondence to: Dr Vivek Shukla, Department of Pediatrics, SUNY, Downstate Medical Center, Brooklyn, NY, USA-11203. viveks3985@gmail.com.
Objective:
To assess outcomes and factors influencing outcomes in neonates requiring cardiac surgery in India.
Methods:
This study reports on review of hospital data from a tertiary care cardiac surgical institute from January-2009 to December-2015.
Results:
A total of 200 neonates were included; of them, 5% of the cases were antenatally diagnosed and most of them had unmonitored transport (111, 55.5%). The overall mortality rate was 13.5%, (n=27) and 178 (89%) underwent complete defect repair. There was a significant association of mortality with shock, the number of inotropes, intra-operative procedure, residual lesion, aortic cross-clamp and deep hypothermic circulatory arrest time (all P<0.05). Logistic regression analysis showed ventilation duration, cardiac-bypass time, shock, and residual cardiac lesion as independent predictors of mortality.
Conclusions:
Cardiac defects were found to have late detection and most transports were unmonitored. Complete surgical repair and shorter cardiac bypass time can potentially improve neonatal cardiac surgical outcomes.
