Cardiac surgery with extracorporeal circulation in 23 infants weighing 2500 g or less: short and intermediate term outcome1
Autor: | Frank Deuvaert, Pierre Viart, Thierry Beyens, Hugues Dessy, Jean Marie Bouton, Dominique Biarent, Jan Lamote, Andrée Deville, Hélène Demanet |
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Rok vydání: | 1998 |
Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty Heart septal defect business.industry medicine.medical_treatment Extracorporeal circulation Interrupted aortic arch Mitral valve replacement General Medicine medicine.disease Surgery Cardiac surgery Intensive care Aortic valve stenosis Internal medicine medicine Cardiology Cardiology and Cardiovascular Medicine business Tetralogy of Fallot |
Zdroj: | European Journal of Cardio-Thoracic Surgery. 14:165-172 |
ISSN: | 1873-734X 1010-7940 1750-2500 |
DOI: | 10.1016/s1010-7940(98)00158-4 |
Popis: | Objective and methods: From September 1990 to February 1997, 23 consecutive critically ill infants (12 males, 11 females) weighing 2500 g or less underwent cardiac surgery necessitating extracorporeal circulation (ECC). A retrospective study was carried out to evaluate short- and intermediate-term outcome. Mean weight at operation was 2265 g (range 1750-2500 g). Mean age at operation was 24 days. The indications for surgery were transposition of the great arteries (TGA; 7), ventricular septal defect (VSD; 4), aortic stenosis (AS; 3), univentricular heart (UVH: 2), tetralogy of Fallot (TOF; 2), interrupted aortic arch (IAA; 2), atrial septal defect (ASD; 1), atrioventicular septal defect (AVSD; 1) and total abnormal pulmonary venous return (TAPVR; I). All patients were in NYHA class IV; 17 patients (74%) were intubated pre-operatively. Results: The mean aortic cross-clamping time was 40 min. Twelve patients required deep hypothermia ( |
Databáze: | OpenAIRE |
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