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Clinical features and results of recent neonatal cardiac surgery - A review of 82 cases in one hospital

Korean Journal of Pediatrics 2007;50(7):665-671.
Published online July 15, 2007.
Clinical features and results of recent neonatal cardiac surgery - A review of 82 cases in one hospital
Ki Won Oh1, Jung Ok Kim1, Joon Yong Cho2, Myung Chul Hyun1, Sang Bum Lee1
1Department of Pediatrics, College of Medicine, Kyungpook National University, Daegu, Korea
2Department of Thoracic and Cardiovascular Surgery, College of Medicine, Kyungpook National University, Daegu, Korea
최근 신생아 심장 수술의 특징과 결과 - 단일 병원에서의 82례 고찰
오기원1, 김정옥1, 조준용2, 현명철1, 이상범1
1경북대학교 의과대학 소아과학교실
2경북대학교 의과대학 흉부외과학교실
Correspondence: 
Myung Chul Hyun, Email: mchyun@knu.ac.kr
Abstract
Purpose
: The purpose of this study was to investigate the clinical features and outcome in newborns undergoing cardiac surgery.
Methods
: Eighty two neonates underwent heart surgery for congenital heart defect at Kyungpook National University Hospital between March 2000 and February 2006. Patient characteristics (sex, age, diagnosis), pre-operative conditions, operation type, postoperative complications and mortality were reviewed retrospectively.
Results
: In 82 patients, 41 (50%) were male. The mean age and weight at operation were 12 days and 3.2 kg, respectively. The common cardiac anomalies were complete transposition of the great arteries (TGA), Tetralogy of Fallot (TOF), pulmonary atresia with intact ventricular septum, and single ventricle variants. Fifty seven operations were performed with cardiopulmonary bypass and corrective surgery was done on 54 patients. Arterial switch operation and modified Blalock-Taussig shunt were most frequently performed as corrective and palliative operations, respectively. The early hospital mortality rate was 7%; the late mortality was 3.9%. Complications were acute renal insufficiency, delayed sternal closure, wound infection, arrhythmia, and brain hemorrhage.
Conclusion
: During the last 6 years, the outcomes of cardiac surgery for congenital heart defects in neonates improved by progress in perioperative, anaesthetic, surgical, and postoperative care.
Key Words: Heart defects, Congenital, Cardiovascular surgical procedures, Newborn


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