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Implantation of Total Artificial Heart in Congenital Heart Disease
Published on: July 18, 2014
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Cancellations in Congenital Heart Disease Operations.
Connor J Cook1, Jacob T Switzer2, Xiao Zhang1
1Division of Cardiology, Department of Pediatrics, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.
World Journal for Pediatric & Congenital Heart Surgery
|February 3, 2026
Summary
Congenital heart disease surgery cancellations are common, with viral illness being the leading patient factor and urgent cases the main institutional reason. Rates varied by patient risk but not significantly by age or season.
Area of Science:
- Cardiology
- Pediatric Surgery
- Public Health
Background:
- Congenital heart disease (CHD) surgeries are frequently scheduled.
- The frequency and reasons for surgical cancellations in CHD patients were previously undocumented.
Purpose of the Study:
- To determine the incidence of surgical cancellations in congenital heart disease patients.
- To identify patient-specific and institutional factors contributing to these cancellations.
Main Methods:
- A retrospective review of 729 congenital heart disease surgical cases from 2018-2023.
- Analysis of cancellations based on patient age, Thoracic Surgeons-European Association for Cardio-Thoracic Surgery (STAT) score, and categorized factors (patient vs. institutional).
Main Results:
- 30.2% of scheduled CHD surgeries were canceled.
- Viral illness (47.3%) was the primary patient factor; urgent case priority (44.6%) was the main institutional factor.
- Cancellations were lowest in neonates and STAT 5 procedures, with no significant seasonal variation but an increase post-COVID-19.
Conclusions:
- Viral illness is the most frequent cause for congenital heart disease surgery cancellation.
- While neonates and STAT 5 patients had fewer cancellations, other groups showed similar rates.
- Institutional factors correlated with increased surgical volume, and patient illness-related cancellations rose post-pandemic.
Keywords:
cancellation of congenital heart disease operationsinstitutional factorspatient factorsviral illnessMore Related Videos
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