Surgical management of neonates with critical congenital heart diseases

doi:10.3877/cma.j.issn.1673-5250.2006.06.107

Objective

Study on surgical management of neonates with critical congenital heart diseases.

Methods

From Jan.1990 to July 2006, 219 neonates with critical congenital heart diseases were operated in our hospital.Their ages ranged from 1 to 30 days(mean 21 ± 5 days).The weights ranged from 0.9 to 4.3 kg(mean3.5 ± 0.5kg).

Results

There were 21 cases died in early postoperative period.The mortality is 9.6%.

Conclusion

The critical and complex congenital heart diseases should diagnosed and operated as early as possible.During the period of surgical management with neonatal congenital heart diseases, the technical of surgery, anesthesia, CPB, myocardial protection and postoperative intensive care are very important.

Key words: congenital heart disease, neonates, critical, surgery

	1　Leung MP, Yung TC，Ng YK, et al.Pattern of symptomatic congenital heart disease among oriental neonates decade's experience.Cardiol J, 1996，6(3):291.
	2　Laussen PC.Neonates with congenital heart disease.Current Opinion in Pediatrics, 2001,13(3)：220-226.
	3　Jaquiss RD, Tweddell B，James S.The neonate with congenital heart disease：What the cardiac surgeon needs to know from the neonatologist and the cardiologist.Clin Perinatolo，2005，32(4): 947-961.
	4　宁寿葆，鲍光奕.先天性心血管畸形.见：吴瑞萍，胡亚美，江载芳主编.诸福堂实用儿科学.第6版.北京：人民卫生出版社，1996，1383-1431.
	5　Fonseca B，Chang RK, Senac M，et al.Chest radiograqhy and the evaluation of the neonate for congenital heart disease.Pediatric Cardiology, 2005 ,26(4):367-372.
	6　林其珊，李羚，黄国英等.新生儿先天性心脏病924例临床及彩超评价.实用儿科临床杂志，2002,17:587-588.
	7　Gurleen S.Changing impact of fetal diagnosis of congenital heart disease.Fetal and neonatal edition.Arch Dis Child, 1997，77:F1-F3.
	8　Penny DJ, Shekerdemian LS.Management of the neonate with symptomatic congenital heart disease.Arch Dis Child Fetal Neonatal Ed, 2001，84:141-145.
	9　Marcos F，Vidal M.Clinical Respiratory Physiology of the Neonate and Infant With Congenital Heart Disease.Respirat Physi Neonate, 2004, Sept.11:29-43.
	10　Tweddell JS，Hoffman GM.Postoperative management in patients with complex congenital heart disease.Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu，2002，5:187-205.
	11　Jeffrey PM.Supraventricular tachycardia in the neonate and infant.Progr Pediatr Cardiol, 2000，11:25-38.
	12　Stone DM，Frattarelli DAC, Karthi KS, et al.Altered prostaglandin E1 dosage during extracorporeal membrane oxygenation in a newborn with ductal-dependent congenital heart disease.Pediatr Cardiol, 2006，27:360-363.

[1]	Fei Dai, Bowen Zhao, Mei Pan, Xiaohui Peng, Ran Chen, Yuanshi Tian, Ming Di. Value of multiple fetal echocardiographic quantitative parameters in assessing heart structure and function in fetuses with coarctation of the aorta[J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2024, 21(10): 950-958.
[2]	Zhong Yang, Jingye Shi, Xuedong Deng, Wei Jiang, Linliang Yin, Qi Pan, Hong Liang, Jianfang Ma, Zhenqi Wang, Jun Zhang, Shanshan Dong. Diagnostic value of prenatal ultrasound in fetal 22q11.2 microdeletion syndrome[J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2024, 21(09): 852-858.
[3]	Min Liu, Enyi Tang, Zhe Liu, Sumeng Ge, Mei Liu, Guowen Sun. The application of computer navigation technology in the removal surgery of small foreign bodies in the oral and maxillofacial regions[J]. Chinese Journal of Stomatological Research(Electronic Edition), 2024, 18(06): 375-379.
[4]	Kai Zhong, Tiemin Jiang, Ruiqing Zhang, Yingmei Shao, Qiang Guo. Application of enhanced recovery after surgery in hepatectomy for hepatic cystic echinococcosis[J]. Chinese Archives of General Surgery(Electronic Edition), 2024, 18(06): 425-429.
[5]	Shijun Liu, Jie Ma, Lujing Shi. Near-and medium-term follow-up study of complete mesangectomy plus standard D2 radical resection for advanced gastric cancer[J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2025, 19(01): 27-30.
[6]	Pan Chi, Shenghui Huang. The tremendous progress in laparoscopic radical surgery for rectal cancer over the past three decades in China[J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2024, 18(06): 596-600.
[7]	Shengwei Wu, Zhiwei Wang, Guijin Chen, Xu Liu, Xiaoxiang Wu. Evaluation of clinical effects of modified NOSESⅠ surgery in patients with mesangial hypertrophy and low rectal cancer[J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2024, 18(06): 615-618.
[8]	Haiyang Huang, Yonglong Kuang, Jiasheng Chen. Analysis of 30 cases of natural orifice specimen extraction surgery for colorectal neoplasm in primary hospital[J]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2024, 13(06): 510-518.
[9]	Jiagang Han, Zhenjun Wang. The treatment strategies for obstructive left-sided colon cancer[J]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2024, 13(06): 450-458.
[10]	Guoxin Guan, Fuwen Luo. Individualized management of colon cancer complicated with acute obstruction[J]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2024, 13(06): 459-463.
[11]	Ying Zhang, Xin Zhao, Jiamei Chen, Yan Li. Impact of preoperative chemotherapy on prognosis of pseudomyxoma peritonei treated by cytoreductive surgery plus hyperthermic intraperitoneal chemotherapy：a meta-analysis[J]. Chinese Journal of Clinicians(Electronic Edition), 2024, 18(09): 826-835.
[12]	Rongkui Wu, Jing Wu, Junhao Feng, Jiayi Zhong. The application of clinical nursing pathway in patients undergoing intervention through the femoral artery approach[J]. Chinese Journal of Clinicians(Electronic Edition), 2024, 18(08): 729-733.
[13]	Gengyu Zhang, Chong Tang, Kun Zhang, Hui Zhang, Qinghua Zhang, Jiabang Liu. A Bibliometric analysis and single center case report of core decompression for osteonecrosis of the femoral head[J]. Chinese Journal of Clinicians(Electronic Edition), 2024, 18(08): 771-780.
[14]	Jie Bai, Weiyi Wang, Chao Chen, Fan Wang, Xinru Xiao. Occupational burnout among neurosurgery residents and its influencing factors[J]. Chinese Journal of Clinicians(Electronic Edition), 2024, 18(07): 662-670.
[15]	Yunhe Hu, Yuzhuo Zhou, Ruiying Fu, Fan Yu, Aidong Li. Influencing factors and management strategies for GB1 group hospitalization expenses under the CHS-DRG payment system[J]. Chinese Journal of Clinicians(Electronic Edition), 2024, 18(06): 568-574.

Viewed

Full text

Abstract

Please choose a citation manager

Content to export