Document Detail

Cardiac surgery in low birth weight infants: current outcomes.
MedLine Citation:
PMID:  21106568     Owner:  NLM     Status:  In-Data-Review    
Low birth weight (LBW) is a risk factor for mortality in neonatal and infant heart surgery. The purpose of this study was to determine the contemporary outcomes and risk factors of cardiac surgery in low weight babies. The records of 75 consecutive infants weighing <2.5 kg having heart surgery were reviewed. The median weight was 2100 g (range 800-2500 g) and median age was 11 days (range 2-86 days). Half (n=38) of the infants were premature. Diagnoses included: arch obstruction (n=14), hypoplastic left heart syndrome (HLHS) (n=12), tetralogy of Fallot (ToF) or pulmonary atresia (PA)/ventricular septal defect (VSD) (n=11), transposition of the great arteries (TGA) (n=7), total anomalous pulmonary venous return (TAPVR) (n=5), and other (n=20). There were two early deaths. Follow-up was available on all infants with a median duration of 1320 days (range 6-3055 days). Cumulative Kaplan-Meier survival at one year was 90% [95% confidence interval (CI), 80-95%] and at five years was 88% (95% CI, 77-94%). Overall mortality amongst patients with genetic/chromosomal abnormalities was higher, 28% vs. 5.4% amongst patients without such abnormalities (P=0.008). Age, prematurity, preoperative mechanical ventilation, prostaglandins, non-cardiac organ dysfunction, extra-cardiac malformations, perioperative extracorporeal membrane oxygenation (ECMO), and type of procedure were not associated with significant differences in mortality. Cardiac surgery in LBW infants can be performed with low early and mid-term mortality. LBW infants with chromosomal/genetic anomalies have a higher risk.
Anthony Azakie; Natalie C Johnson; Petros V Anagnostopoulos; Glenn D Egrie; Michael J Lavrsen; Anil Sapru
Related Documents :
8515908 - Isolated congenital heart block: fetal and infant outcome and familial incidence of hea...
18187298 - Left atrial ejection force in healthy newborn infants.
6856388 - Manganese balance studies in infants after operations on the heart.
18664078 - Atrial tachyarrhythmias in infants.
21852338 - Rapid early weight gain is associated with wheeze and reduced lung function in childhood.
15232408 - Polymorphisms of the paraoxonase gene and risk of preterm delivery.
Publication Detail:
Type:  Journal Article     Date:  2010-11-24
Journal Detail:
Title:  Interactive cardiovascular and thoracic surgery     Volume:  12     ISSN:  1569-9285     ISO Abbreviation:  Interact Cardiovasc Thorac Surg     Publication Date:  2011 Mar 
Date Detail:
Created Date:  2011-02-24     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101158399     Medline TA:  Interact Cardiovasc Thorac Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  409-14     Citation Subset:  IM    
UCSF Benioff Children's Hospital, San Francisco, CA, USA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

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

Previous Document:  Negative-pressure wound therapy following cardiac surgery: bleeding complications and 30-day mortali...
Next Document:  The bigger they come, the harder they fall: body size and prey abundance influence predator-prey rat...