Surgical management of neonates with critical congenital heart diseases

Abstract

Objective To summarize our experience on the surgical management of neonates with critical congenital heart diseases.Methods From January to June 2012,51 neonates with critical congenital heart diseases undertook surgical repair in our center.These patients included 37 males and 14 females.Their age ranged from 2 to 30 days old,and the average age was (12± 6)days old.They weighted from 1.0 to 4.3 kilograms with an average weight of (3.1 ± 0.7)kilograms.Results The mortality was 7.8％.Four patients died after surgery,1 patient with pulmonary venous drainage died of postoperative pulmonary hypertension,1 patient with died of severe postoperative hypoxemia and malignant arrhythmia,1 with Taussig-Bing malformation died of heart failure and low cardiac output syndrome,the other 1 with tricuspid atresia died of postoperative low cardiac output syndrome.The rest of these patients recovered well without any complications.Conclusions Surgery is feasible for the treatment of critical congenital heart diseases in neonates. Key words: Heart diseases; Infant; newborn; Cardiac surgical procedures