All issues > Volume 4(2); 1961

Case Report

J Korean Pediatr Soc. 1961;4(2):43-47. Published online October 31, 1961.

Clinical Studies on Congenital Heart Disease (On 135 clinically studied cases)

Chang Yee Hong¹

¹Department of Pediatrics Seoul National University Hospital, Seoul, Korea

Abstract

During 4 years, from October 1957 to September 1961, 135 cases of congenital heart diseasewere observed, which represents about 1% of the total patients who were seen durng the same period and approximately six times more than the occurence of chronic rheumatic heart disease. Out of the 135 patients, 77 cases(57%) were male and 58 cases(43%) were female. Approxim ately one half of the patients were under 2 years of age at the first examination. Among the chief complaints at the first visit, dyspnea or exertional dyspnea, cyanosis, fever, frequent upper respiratory infection, growth retardation, fatigueability, palpitation, and irritability were the most common. There were only three mothers according to their history who gave the history of some febrile disease of unknown origin during early pregnancy but in many cases their histories were unreliable. The incidence of individual lesions is shown in Fig. 2. Ventricular septal defect, Tetralogy of Fallot, patent ductus arteriosus, atrial septal defect and pulmonary stenosis were the most common congenital heart anomalies. There were nine patients who had associated congenital anomalies. Mongolism was the most common. Out of the 135 cases, 16 patients were operated, 12 cases by extracardiac surgery and 4 by intracardiac, by using pump-oxygenator.

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