Cardiac surgery under age two years
| Autor: | Dale G. Hall, Lester R. Sauvage, Edward A. Rittenhouse, Eric C. Furman, Peter B. Mansfield, Stanley J. Stamm, Paul S. Herndon |
|---|---|
| Rok vydání: | 1979 |
| Předmět: |
Pulmonary and Respiratory Medicine
Heart procedures medicine.medical_specialty Heart disease business.industry General surgery Hospital mortality medicine.disease Cardiac surgery Cardiac procedures Orthopedic surgery medicine Open repair Surgery In patient Cardiology and Cardiovascular Medicine business |
| Zdroj: | The Journal of Thoracic and Cardiovascular Surgery. 77:816-825 |
| ISSN: | 0022-5223 |
| DOI: | 10.1016/s0022-5223(19)38183-8 |
| Popis: | To assess the current status and risks of both open and closed cardiac procedures for congenital heart disease in patients under the age of 2 years, we reviewed all cardiac catheterizations and cardiac-operations done from January, 1974, through December, 1977, at The Children’s Orthopedic Hospital and Medical Center in Seattle, Washington. In this interval 370 patients under 2 years of age were catheterized. Eighty open procedures were performed in patients under 2 years of age, with seven hospital deaths. One hundred twenty-four closed heart procedures were performed on children under the age of 2 years, with eight deaths, for a hospital mortality rate of 6.5 percent. This review of consecutive cases over a 4 year period suggests that the judicious application of palliation or open repair using current techniques can lead to an overall mortality rale of between 6 and 7 percent for both open and closed heart procedures in children under 2 years of age. Since all deaths except one in the open-heart group occurred in patients with the most complex multiple defects, it seems reasonable to suggest that improved intraoperative and postoperative techniques have lowered the time for repair of straightforward congenital heart defects to under 2 years of age. |
| Databáze: | OpenAIRE |
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