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Cardiac surgery under age two years. A review
The Journal of Thoracic and Cardiovascular Surgery
|June 1, 1979
Summary
This study assessed risks for open and closed cardiac procedures in infants with congenital heart disease. Results show similar mortality rates (6-7%) for both procedures, suggesting improved techniques allow earlier repair.
Area of Science:
- Pediatric Cardiology
- Congenital Heart Disease Surgery
Background:
- Congenital heart disease (CHD) affects many infants.
- Surgical interventions for CHD carry inherent risks, especially in young children.
Purpose of the Study:
- To evaluate the risks and outcomes of open and closed cardiac procedures for CHD in patients under two years of age.
- To determine the current mortality rates for these interventions.
Main Methods:
- Retrospective review of cardiac catheterizations and operations in patients under two years old.
- Data collected from January 1974 to December 1977 at The Children's Orthopedic Hospital and Medical Center.
Main Results:
- 370 patients under two years underwent cardiac catheterization.
- Eighty open procedures had seven deaths (8.75%); 124 closed procedures had eight deaths (6.5%).
- Overall hospital mortality for both open and closed procedures was between 6% and 7%.
Conclusions:
- Judicious application of current techniques for palliation or open repair in infants with CHD yields acceptable mortality rates.
- Improved intraoperative and postoperative techniques may enable earlier repair of simpler congenital heart defects.