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
Rok vydání: 1998
Předmět:
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