Shi Lei,Zhai Bo,Yang Fang,et al. Emergency primary repair of critical congenital heart disease in neonates and infants.[J].Journal of Clinical Pediatric Surgery,,17():931-934.
Emergency primary repair of critical congenital heart disease in neonates and infants.
Journal of Clinical Pediatric Surgery[ISSN:1671-6353/CN:43-1380/R]
volume:
第17卷
Number:
2018 12
Page:
931-934
Column:
论著
Date of publication:
2018-12-18
- Keywords:
- ; Heart Disease/CN; Emergency; Critical; Infant; Primary Repair
- Document code:
- A
- Abstract:
- ObjectiveTo explore the surgical outcomes and timing of emergency primary repair of critical congenital heart disease.MethodsA total of 192 neonates and infants with critical congenital heart disease were recruited for emergency primary surgery from January 2016 to February 2017.There were ventricular septal defect plus pulmonary hypertension (VSD/PH)(n=113),coarctation of the aorta (COA) plus VSD (n=21),complete transposition of great arteries (TGA) (n=13),total anomalous pulmonary venous connection (TAPVC) (n=13),double outlet right ventricle (DORV) plus PH (n=10),patent ductus arteriosus (PDA) plus PH (n=8),critical tetralogy of Fallot (TOF,n=6),interruption of aortic arch (IAA) plus VSD (n=5) and severe pulmonary stenosis (PS,n=3).Operative age ranged from 3 days to 14 months.Because of refractory pneumonia complicated with heart failure or hypoxemia,correction of acidosis was difficult.After active preparation,emergency primary operation was performed within 24 h. ResultsNine children died with an overall inhospital mortality of 4.68%.There were VSD/PH (n=4,1 declined further treatment),TGA (n=2),COA/VSD (n=1),TAPVC (n=1) and IAA/VSD (n=1).Other complications were similar to those of selective operations.After treatment,the remainders were all cured. ConclusionDespite high risks,emergency primary repair is still efficacious for neonates and infants with critical congenital heart disease.Severe heart failure and even lethal condition are not absolute surgical contraindications.Wider popularization is recommended.
Last Update:
2018-12-19