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Implantation of Total Artificial Heart in Congenital Heart Disease
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Congenital cardiac malformation in infants and children

W Klinner, E Kreuzer, R Türk

    Progress in Pediatric Surgery
    |January 1, 1979
    PubMed

    Insights

    Pediatric cardiac surgery mortality is linked to complex anomalies and respiratory issues in infants, and cardiovascular insufficiency in older children. Improved intensive care post-operation is recommended to reduce deaths.

    Area of Science:

    • Pediatric Cardiac Surgery
    • Cardiovascular Anomalies
    • Intensive Care Medicine

    Background:

    • Mortality rates in pediatric cardiac operations vary significantly by age group.
    • Infants under one year undergoing cardiac surgery without cardiopulmonary bypass face high risks.

    Purpose of the Study:

    • To analyze causes of death in children undergoing cardiac operations.
    • To identify risk factors and suggest improvements in postoperative care.

    Main Methods:

    • Retrospective analysis of pediatric cardiac surgery outcomes.
    • Categorization of deaths based on age, cardiac anomalies, and cause.

    Main Results:

    • In infants (<1 year), cardiac arrest and respiratory deficiency were primary causes of death, often without cardiopulmonary bypass.
    • In children (2-14 years), cardiovascular insufficiency was the leading cause of death (4.64% mortality).
    • Tetralogy of Fallot patients experienced high mortality, with cardiac insufficiency and bronchopneumonia with sepsis being significant factors.

    Conclusions:

    • Complex cardiac anomalies and respiratory issues are critical in infant mortality.
    • Cardiovascular insufficiency is a major concern in older children post-cardiac surgery.
    • Enhanced postoperative intensive therapy is crucial for reducing mortality in pediatric cardiac surgery patients.

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