Document Detail


Cardiac surgery in the critically ill infant during the first three months of life.
MedLine Citation:
PMID:  6171897     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Major advances have been made in the treatment of congenital heart disease in the past 10 years. Management of the 20 per cent of children who become critically ill during the first 3 months of life remains a major challenge because they represent the most extreme anatomic and physiologic derangements. A review of the recent data accumulated in the NERICP showed an overall mortality of 54 per cent in infants presenting for surgery in the first 2 months of life. We have reviewed our experience with over 400 procedures during the past 5 years in infants less than three months of age, and our overall mortality is 19 per cent. Primary repair remains our goal, but a disappointingly high mortality with primary repair in this group, by us and others, has caused us to perform palliative procedures when palliation in our experience offers an overall lower mortality.
Authors:
J W Brown; H King
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Surgical clinics of North America     Volume:  61     ISSN:  0039-6109     ISO Abbreviation:  Surg. Clin. North Am.     Publication Date:  1981 Oct 
Date Detail:
Created Date:  1982-02-12     Completed Date:  1982-02-12     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0074243     Medline TA:  Surg Clin North Am     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1063-78     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Aortic Coarctation / surgery
Aortic Valve Stenosis / surgery
Cardiopulmonary Bypass
Coronary Vessel Anomalies / surgery
Critical Care*
Heart Defects, Congenital / mortality,  surgery*
Humans
Infant
Infant, Newborn
Methods
Palliative Care
Pulmonary Circulation
Pulmonary Valve / abnormalities
Pulmonary Valve Stenosis / surgery
Pulmonary Veins / abnormalities

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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