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Implantation of Total Artificial Heart in Congenital Heart Disease
07:27

Implantation of Total Artificial Heart in Congenital Heart Disease

Published on: July 17, 2014

[Heart-operations in the first year of life (author's transl)]

F Sebening, W P Klövekorn, E Gams

    Zentralblatt Fur Chirurgie
    |January 1, 1978
    PubMed

    Insights

    This study shows that corrective open heart surgery for complex congenital heart defects in infants under one year old has a high survival rate. The described technique using profound hypothermia and circulatory arrest offers a promising advancement in pediatric cardiac surgery.

    Area of Science:

    • Pediatric Cardiac Surgery
    • Congenital Heart Defects
    • Hypothermia

    Context:

    • Complex severe congenital heart defects in infants
    • Surgical interventions in the first year of life
    • Advancements in open heart surgery techniques

    Purpose:

    • To evaluate the efficacy and outcomes of corrective surgery for congenital heart defects in infants
    • To assess the safety and success rate of profound hypothermia with circulatory arrest in this patient population

    Summary:

    • A total of 246 infants underwent surgery for complex severe congenital heart defects between April 1974 and April 1977.
    • Corrective surgery was prioritized, with palliative procedures reserved for non-repairable malformations.
    • All corrective operations utilized profound hypothermia (20-22°C) and circulatory arrest, resulting in a 73.6% survival rate at 30 days post-operation.

    Impact:

    • The described surgical technique demonstrates a promising improvement in open heart surgery outcomes for infants.
    • Marked improvement or complete symptom resolution was observed in most surviving infants.
    • This approach offers a viable and effective strategy for managing severe congenital heart defects in early infancy.

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