Cardiac surgery in the critically ill infant during the first three months of life

John Brown, H. King

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Major advances have been made in the treatment of congenital heart disease in the past 10 years. Management of the 20 per cent of children who become critically ill during the first 3 months of life remains a major challenge because they represent the most extreme anatomic and physiologic derangements. A review of the recent data accumulated in the NERICP showed an overall mortality of 54 per cent in infants presenting for surgery in the first 2 months of life. We have reviewed our experience with over 400 procedures during the past 5 years in infants less than three months of age, and our overall mortality is 19 per cent. Primary repair remains our goal, but a disappointingly high mortality with primary repair in this group, by us and others, has caused us to perform palliative procedures when palliation in our experience offers an overall lower mortality.

Original languageEnglish
Pages (from-to)1063-1078
Number of pages16
JournalSurgical Clinics of North America
Volume61
Issue number5
StatePublished - 1981

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Critical Illness
Thoracic Surgery
Mortality
Heart Diseases
Therapeutics

ASJC Scopus subject areas

  • Surgery

Cite this

Cardiac surgery in the critically ill infant during the first three months of life. / Brown, John; King, H.

In: Surgical Clinics of North America, Vol. 61, No. 5, 1981, p. 1063-1078.

Research output: Contribution to journalArticle

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