Yang Guangxian,Huang Peng,Liujian,et al.Surgical treatments and perioperative managements of neonatal critical congenital heart disease.[J].Journal of Clinical Pediatric Surgery,,17():212-218.
Surgical treatments and perioperative managements of neonatal critical congenital heart disease.
Journal of Clinical Pediatric Surgery[ISSN:1671-6353/CN:43-1380/R]
volume:
第17卷
Number:
2018 03
Page:
212-218
Column:
论著
Date of publication:
2018-03-28
- Document code:
- A
- Abstract:
- ObjectiveTo summarize the surgical experiences and perioperative managements of neonatal critical congenital heart disease (CCHD).MethodsFrom January 2014 to September 2017，clinical data were reviewed for 62 CCHD cases including 47 boys and 15 girls.The etiologies included aortic arch disease (n=22) (including 20 aortic coarctaions with ventricular septal defect and 2 interruptions)，total anomalous pulmonary venous drainage (n=18)，transposition of great arteries (n=10)，ventricular septal defect & pulmonary arterial hypertension (n=8)，pulmonary artery stenosis (n=3) and aortic stenosis with pulmonary artery stenosis (n=1).One case of pulmonary artery stenosis underwent hybrid procedure while the remainder had radical cardiac surgery by cardiopulmonary bypass.ResultsAmong them，57 cases were discharged while 5 cases died with a mortality rate of 9.7%.And 26 cases were treated by delayed sternal closures.Six cases received peritoneal dialysis.There were arrhythmia (n=8)，diaphragmatic palsy (n=1) and necrotizing enterocolitis (n=1).ConclusionEarly intervention for neonatal CCHD may achieve excellent outcomes.Early diagnosis，optimal timing of surgery，continuous improvements of surgical techniques，cardiopulmonary bypass technology and perioperative managements are essential for improving the prognosis of neonatal CCHD.Establishing a multidisciplinary collaborative network is a future trend.
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