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Selected Publication:
Rigler, B; Kraft-Kinz, J; Hermann, W; Stenzl, W; Tscheliessnigg, KH; Dacar, D; Hiotakis, K; Beitzke, A; Metzler, W.
Surgical treatment of congenital heart disease in infants without use of extracorporeal circulation (author's transl)].
Langenbecks Arch Chir. 1980; 351(1):51-61
Doi: 10.1007/BF01241930
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- Leading authors Med Uni Graz
- Rigler Bruno
- Co-authors Med Uni Graz
- Dacar Drago
- Metzler Helfried
- Tscheliessnigg Karlheinz
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- Abstract:
- Between 1970 and 1978 135 infants with congenital malformations underwent operations due to congestive heart failure, progressive pulmonary hypertension, and severe cyanosis. Of them, 63% were acyanotic; 68% of all operations became necessary during the first 6 months of life. The late mortality rate was 5% and the hospital mortality rate 17%. A remarkably higher operative risk was found during the first 6 months of life. Ligation of patent ductus arteriosus as the most common lesion was done with a mortality rate of 2.5% which is comparable to the risk of late repair in childhood. Pulmonary artery banding could be performed in all acyanotic malformations with a mortality rate of 17% and of 12.5% in isolated VSD (including debanding and VSD closure in several cases). Coarctation of the aorta was corrected with a overall mortality rate of 26%. Because of a recurrence rate of 20%, the authors think that operations are only indicated in symptomatic cases of coarctation. In complex cyanotic malformations, a higher operative risk was observed in both pulmonary artery banding (38%) and shunt operations (44%). If surgical treatment is necessary, the earlier, the better.
- Find related publications in this database (using NLM MeSH Indexing)
- Age Factors -
- Aortic Coarctation - surgery
- Cardiac Surgical Procedures - methods
- Ductus Arteriosus, Patent - surgery
- Heart Defects, Congenital - surgery
- Heart Septal Defects, Ventricular - surgery
- Humans -
- Infant -
- Infant, Newborn -
- Infant, Premature, Diseases - surgery
- Postoperative Complications -
- Pulmonary Artery - surgery
- Recurrence -
- Risk -