[Surgical treatment of newborns with congenital heart diseases].

Abstract

OBJECTIVE:

To summarize the experience of surgical treatment of newborns with congenital heart diseases.

METHODS:

The experience of surgical treatment of 8 newborns with critical congenital heart diseases, including 3 cases of D-transposition of great arteries with intact ventricular septum, 2 cases of ventricular septal defect with artrial defect (ASD), one case of complete atrioventricular canal defect, 1 case of obstructed supracardiac total anomalous pulmonary venous drainage with ASD, and 1 case of patent ductus arteriosus (PDA).

RESULTS:

The case of PDA underwent ligation under normothermic anesthesia and the other 7 cases were operated upon under moderate or deep hypothermic cardiopulmonary bypass. All the 8 cases were observed in ICU for 2 approximately 10 days, and were discharged 7 approximately 15 days after operation. The follow-up after discharge showed a satisfying outcome. The postoperative complications included low cardiac output, infection of mediastinum, and respiratory distress syndrome.

CONCLUSION:

The critical and complex congenital heart diseases should by diagnosed as early as possible and emergency operation is effective and feasible.

• Authors: Ru-fang Zhang, Long-bao Qian, Da-wei Wang, Xing-lin Gu, Zhen-xi Wang, Xu-ming Mo, Hai-tao Gu, Jian-hai Xia, Xin-sheng Wu, Xiao-yu Zhou
• Journal: Zhonghua yi xue za zhi (Zhonghua Yi Xue Za Zhi) Vol. 83 Issue 1 Pg. 27-30 (Jan 10 2003) ISSN: 0376-2491 [Print] China
• PMID: 12757641 (Publication Type: English Abstract, Journal Article, Research Support, Non-U.S. Gov't)

Topics

• Cardiac Surgical Procedures
• Female
• Heart Defects, Congenital (diagnosis, surgery)
• Humans
• Infant, Newborn
• Male
• Treatment Outcome