All issues > Volume 50(7); 2007

Original Article

Korean J Pediatr. 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 KW Oh¹, Jung Ok JO Kim¹, Joon Yong JY Cho², Myung Chul MC Hyun¹, Sang Bum SB 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

Correspondence Myung Chul MC 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.

Keywords :Heart defects, Congenital, Cardiovascular surgical procedures, Newborn