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 hospit...
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), 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 12days and 3.2kg, respectively. The most 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 had done in 68%. 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% and late mortality was 3.9%. Common complications were acute renal insufficiency, delayed sternal closure, wound infection, arrhythmia, and brain hemorrhage.
Conclusion : During recent 6 years, the outcomes of cardiac surgery for congenital heart defects in neonates improved by progress in perioperative, anaesthetic, surgical, and postoperative care.