Document Detail

Closed cardiovascular surgery in the first year of life--experience with 40 consecutive cases.
MedLine Citation:
PMID:  6530969     Owner:  NLM     Status:  MEDLINE    
A review of 40 consecutive infants with cardiovascular lesions requiring surgical intervention, without the use of the heart-lung machine, during a 3 year period is presented. Twenty-one patients were cyanotic and 19 were non-cyanotic preoperatively. In the former group, an operation was performed on an urgent or emergency basis in 8 patients (38%). In the latter group, 12 patients (63%) were in congestive heart failure and needed digitalis and diuretics preoperatively. The most frequent lesions among both groups were TOF and aortic coarctation, each being encountered in 6 patients, to be followed by d-TGA, PDA, and vascular ring, each being observed in 5 patients. The youngest patient was 8 hours old, had ectopia cordis associated with omphalocele, and the oldest was 12 months old, had a vascular ring. The lightest infant weighed 1.6 kg and had ligation of PDA at the age of one month. The most common surgical procedure was a systemic pulmonary artery shunt (13 patients), closure of PDA (5 patients), followed by repair of aortic coarctation using the LSA as a patch (6 patients), and division of vascular ring (5 patients). The operative M.R. was 15% in the whole series, 19% among the 21 cyanotic babies, 11% among the 19 non-cyanotic infants and 40% among the 10 patients operated in the first month of life. No death was noted among the 14 patients operated after the age of 6 months. Late mortality occurred in 4 patients giving a total mortality rate of 38% in this group of 21 infants with cyanotic malformations.(ABSTRACT TRUNCATED AT 250 WORDS)
M S Slim; J Hatem; I Mansour; F Kutayli
Related Documents :
11805969 - Allograft aortic root replacement in 418 patients over a span of 15 years: 1985 to 2000.
20304139 - Twenty-three years of single-stage end-to-side anastomosis repair of interrupted aortic...
20494039 - Midterm outcomes of rapid, minimally invasive resection of acute type a aortic dissecti...
12022529 - Isolated myocardial revascularization with intermittent aortic cross-clamping: experien...
14602259 - Surgical aortic valvotomy in infancy: impact of leaflet morphology on long-term outcomes.
16607909 - Fate of the autograft and homograft following ross aortic valve replacement: reoperativ...
10495109 - Standard effective doses for proliferative tumours.
21785979 - Perianal abscess and fistula-in-ano in children: clinical characteristic, management an...
18552489 - Long-term outcomes of treatment-resistant heroin addicts with and without dsm-iv axis i...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Middle East journal of anaesthesiology     Volume:  7     ISSN:  0544-0440     ISO Abbreviation:  Middle East J Anaesthesiol     Publication Date:  1984 Oct 
Date Detail:
Created Date:  1985-04-30     Completed Date:  1985-04-30     Revised Date:  2014-10-10    
Medline Journal Info:
Nlm Unique ID:  8604187     Medline TA:  Middle East J Anaesthesiol     Country:  LEBANON    
Other Details:
Languages:  eng     Pagination:  417-24     Citation Subset:  IM    
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Cyanosis / complications
Heart Defects, Congenital / classification,  complications,  mortality,  surgery*
Infant, Newborn
Postoperative Period
Retrospective Studies
Time Factors

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

Previous Document:  Emergency valve replacement during acute carditis--case reports.
Next Document:  Chemical characterization of psoralens used in the National Toxicology Program research projects.