Abstract

MAGLIOLA, Ricardo et al. Cardiopatía congénita: actualización de resultados quirúrgicos en un hospital pediátrico 1994-2001. Arch. argent. pediatr. [online]. 2004, vol.102, n.2, pp.110-114. ISSN 0325-0075.

Introduction. Since infant death secondary to infections and perinatal disease has decreased, congenital malformations, particularly congenital heart defects (CHD), deserve major concern. Great improvements in the surgical repair of some of these cardiac defects have been made, allowing early and complete solutions in most of them. The purpose of this presentation is to show the surgical results in congenital heart disease repair in a tertiary care public pediatric hospital between 1994 and 2001. Design. A prospective case series. Population, material and methods. Since 1994, the pediatric cardiovascular intensive care facility (PCICU) has developed a database to include every consecutivelly admitted surgical patient. Diagnosis, date and surgical procedure, and post-surgical outcome (days in PCICU, days on mechanical ventilation, morbidity and mortality) are registered in the aforementioned database. Diagnoses were stratified according to a previously designed classification. Results were extracted from this database. Results. The number of surgical patients per year increased from 341 in 1994 to 430 in 2001 (26%). Cardiopulmonary bypass was needed in more than 70% of the patients. Ventricular septal defect, tetralogy of Fallot and atrium septal defect (48%), followed by transposition of great vessels and total anomalous pulmonary venous return were the most frequently repaired congenital heart defects. Mortality has shown an important percentual decrease, overall and grouped by different pathologies too, from 12% initially to less than 5% at present. Conclusions. The early and complete repair approach in our institution has been accomplished with encouraging results and low mortality rates.

Keywords : Congenital heart defect; Cardiovascular surgery; Intensive care cardiovascular unit.

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