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[Heart operations on young children under deep hypothermia]

Ia V Volkolakov, A T Latsis, B A Mamaia

    Kardiologiia
    |July 1, 1978
    PubMed

    Insights

    Deep hypothermia with extracorporeal circulation is a viable treatment for pediatric heart defects, showing promising low mortality rates, especially for ventricular septal defects. Long-term follow-up indicates no adverse effects on the central nervous system.

    Area of Science:

    • Cardiovascular Surgery
    • Pediatric Cardiology
    • Hypothermia Therapy

    Context:

    • Clinical application of deep hypothermia and extracorporeal circulation in pediatric cardiac surgery.
    • Evaluation of surgical outcomes and patient survival rates in a cohort of 124 children.

    Purpose:

    • To assess the efficacy and safety of deep hypothermia combined with extracorporeal circulation in pediatric patients undergoing cardiac repair.
    • To analyze mortality rates associated with different cardiac defect corrections and evaluate long-term neurological outcomes.

    Summary:

    • The study involved 124 pediatric patients undergoing cardiac surgery using deep hypothermia and extracorporeal circulation, reporting an overall mortality of 23.4%.
    • Correction of ventricular septal defects showed the lowest mortality, with 14.6% (12 out of 82 patients).
    • Remote follow-up assessments confirmed no detrimental impact of the procedure on the central nervous system.

    Impact:

    • Provides critical data on the outcomes of deep hypothermia in pediatric cardiac surgery.
    • Highlights the safety and effectiveness of this combined approach for specific congenital heart defects.
    • Offers reassurance regarding the neurological integrity of pediatric patients post-procedure, supporting its continued clinical use.

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