JTCS Click here to go to SJM website.
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Doff B. McElhinney
Andrew J. Parry
Frank L. Hanley
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Reddy, V. M.
Right arrow Articles by Hanley, F. L.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Reddy, V. M.
Right arrow Articles by Hanley, F. L.

J Thorac Cardiovasc Surg 1999;117:324-331
© 1999 Mosby, Inc.

SURGERY FOR CONGENITAL HEART DISEASE

RESULTS OF 102 CASES OF COMPLETE REPAIR OF CONGENITAL HEART DEFECTS IN PATIENTS WEIGHING 700 TO 2500 GRAMS

V. Mohan Reddy, MDa, Doff B. McElhinney, MDa, Theresa Sagrado, BAa, Andrew J. Parry, MDa, David F. Teitel, MDb, Frank L. Hanley, MDa

From the Divisions of Cardiothoracic Surgerya and Pediatric Cardiology,b University of California–San Francisco, San Francisco, Calif.

Read at the Seventy-eighth Annual Meeting of The American Association for Thoracic Surgery, Boston, Mass, May 3-6, 1998.

Received for publication May 26, 1998. revisions requested July 6, 1998. revisions received Sept 23, 1998. Accepted for publication Oct 15, 1998. Address for reprints: V. Mohan Reddy, MD, Division of Cardiothoracic Surgery, 505 Parnassus Ave, M593, San Francisco, CA 94143-0118.

Background: Published data suggest that low birth weight is a risk factor for poor outcome in corrective surgery for many cardiac defects. Congenital heart defects in low birth weight infants are typically managed with supportive therapy or palliative operations, with definitive repair delayed. The morbidity associated with such approaches is high.
Methods: Since 1990 complete repair of congenital heart defects (other than patent ductus arteriosus) has been performed in 102 infants no larger than 2500 g (median 2100 g, range 700-2500 g), including 16 no larger than 1500 g. Defects included ventricular septal defect (n = 22), tetralogy of Fallot complexes (n = 20), transposition complexes (n = 13), aortic coarctation (n = 12), interrupted arch (n = 10), truncus arteriosus (n = 8), atrioventricular septal defect (n = 6), total anomalous pulmonary venous return (n = 5), and other (n = 6). Results: Preoperative morbidity was more common among patients referred late for surgical correction. There were 10 early deaths (10%) attributable to cardiac failure (n = 4), arrhythmia (n = 1), multiorgan failure (n = 1), sepsis (n = 1), idiopathic coronary artery intimal necrosis (n = 1), foot gangrene (n = 1), and pulmonary hemorrhage (n = 1). No patient had postbypass intracerebral hemorrhage. At follow-up (median 36 months) there were 8 late deaths, and 8 patients underwent 10 reinterventions. There was no evidence of neurologic sequelae attributable to the operation.
Conclusions: In general, delaying repair of congenital heart defects in low birth weight infants does not confer a benefit and is associated with higher preoperative morbidity. Complete repair of both simple and complex lesions can be achieved in such cases with good results. Growth after repair approximates the normal curve for low birth weight infants without heart disease. It is recommended that such infants, especially when they have symptoms, undergo early surgical repair rather than prolonged medical management or other forms of palliation.




This article has been cited by other articles:


Home page
 HeartHome page
H M Gardiner
The case for fetal cardiac intervention
Heart, October 15, 2009; 95(20): 1648 - 1652.
[Abstract] [Full Text] [PDF]

Home page
 J Trop PediatrHome page
A. El-Sisi, A. Khella, M. Numan, M. Dilwar, A. Bhat, and A. Soliman
Linear Growth in Relation to the Circulating Concentration of Insulin-like Growth Factor-I and Free Thyroxine in Infants and Children with Congenital Cyanotic Heart Disease Before vs. After Surgical Intervention
J Trop Pediatr, October 1, 2009; 55(5): 302 - 306.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
P. T. Burch, C. G. Cowley, R. Holubkov, D. Null, L. M. Lambert, P. C. Kouretas, and J. A. Hawkins
Coarctation repair in neonates and young infants: Is small size or low weight still a risk factor?
J. Thorac. Cardiovasc. Surg., September 1, 2009; 138(3): 547 - 552.
[Abstract] [Full Text] [PDF]

Home page
 Asian Cardiovasc. Thorac. Ann.Home page
T. Miyamoto, N. Sinzobahamvya, J. Photiadis, A. M Brecher, and B. Asfour
Survival after Surgery with Cardiopulmonary Bypass in Low Weight Patients
Asian Cardiovasc Thorac Ann, April 1, 2008; 16(2): 115 - 119.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
C. L. Curzon, S. Milford-Beland, J. S. Li, S. M. O'Brien, J. P. Jacobs, M. L. Jacobs, K. F. Welke, A. J. Lodge, E. D. Peterson, and J. Jaggers
Cardiac surgery in infants with low birth weight is associated with increased mortality: Analysis of the Society of Thoracic Surgeons Congenital Heart Database
J. Thorac. Cardiovasc. Surg., March 1, 2008; 135(3): 546 - 551.
[Abstract] [Full Text] [PDF]

Home page
 J Am Coll CardiolHome page
K. N. Vogt, C. Manlhiot, G. Van Arsdell, J. L. Russell, S. Mital, and B. W. McCrindle
Somatic Growth in Children With Single Ventricle Physiology: Impact of Physiologic State
J. Am. Coll. Cardiol., November 6, 2007; 50(19): 1876 - 1883.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
K. D. Bakshi, B. Vaidyanathan, K. R. Sundaram, S. J. Roth, K. Shivaprakasha, S. G. Rao, S. G. Nair, S. Chengode, and R. K. Kumar
Determinants of early outcome after neonatal cardiac surgery in a developing country
J. Thorac. Cardiovasc. Surg., September 1, 2007; 134(3): 765 - 771.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
R. Roussin, E. Belli, J. Bruniaux, S. Demontoux, A. Touchot, C. Planche, and A. Serraf
Surgery for Transposition of the Great Arteries in Neonates Weighing Less Than 2,000 Grams: A Consecutive Series of 25 Patients
Ann. Thorac. Surg., January 1, 2007; 83(1): 173 - 178.
[Abstract] [Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
R. Abrishamchian, D. Kanhai, E. Zwets, L. Nie, and M. Cardarelli
Low birth weight or diagnosis, which is a higher risk? -- a meta-analysis of observational studies
Eur. J. Cardiothorac. Surg., November 1, 2006; 30(5): 700 - 705.
[Abstract] [Full Text] [PDF]

Home page
 NeoReviewsHome page
M. S. Bleiweis and A. Saidi
Advances in Neonatal Cardiac Surgery: Historical Perspective and Current Status
NeoReviews, September 1, 2006; 7(9): e463 - e473.
[Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
C. D. Sudarshan, A. D. Cochrane, Z. H. Jun, R. Soto, and C. P. Brizard
Repair of coarctation of the aorta in infants weighing less than 2 kilograms.
Ann. Thorac. Surg., July 1, 2006; 82(1): 158 - 163.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
A. Laudito, V. M. Bandisode, J. F. Lucas, W. A. Radtke, W. T. Adamson, and S. M. Bradley
Right Ventricular Outflow Tract Stent as a Bridge to Surgery in a Premature Infant with Tetralogy of Fallot
Ann. Thorac. Surg., February 1, 2006; 81(2): 744 - 746.
[Abstract] [Full Text] [PDF]

Home page
 Asian Cardiovasc. Thorac. Ann.Home page
Y. Takeda, T. Asou, N. Yamamoto, K. Ohara, H. Yoshimura, and H. Okamoto
Arch Reconstruction without Circulatory Arrest in Neonates
Asian Cardiovasc Thorac Ann, December 1, 2005; 13(4): 337 - 340.
[Abstract] [Full Text] [PDF]

Home page
 NeoReviewsHome page
A. M. Ades and G. Wernovsky
Management Considerations and Outcomes of Low-birthweight Infants Who Have Congenital Heart Disease
NeoReviews, July 1, 2005; 6(7): e332 - e338.
[Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
A. Lammers, A. Hager, A. Eicken, R. Lange, M. Hauser, and J. Hess
Need for closure of secundum atrial septal defect in infancy
J. Thorac. Cardiovasc. Surg., June 1, 2005; 129(6): 1353 - 1357.
[Abstract] [Full Text] [PDF]

Home page
 PediatricsHome page
A. L. Dorfman, J. C. Levine, S. D. Colan, and T. Geva
Accuracy of Echocardiography in Low Birth Weight Infants With Congenital Heart Disease
Pediatrics, January 1, 2005; 115(1): 102 - 107.
[Abstract] [Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
G. Oppido, C. P. Napoleone, R. Formigari, D. Gabbieri, D. Pacini, G. Frascaroli, and G. Gargiulo
Outcome of cardiac surgery in low birth weight and premature infants
Eur. J. Cardiothorac. Surg., July 1, 2004; 26(1): 44 - 53.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
T. Bove, K. Francois, K. De Groote, B. Suys, D. De Wolf, H. Verhaaren, D. Matthys, A. Moerman, J. Poelaert, P. Vanhaesebroeck, et al.
Outcome analysis of major cardiac operations in low weight neonates
Ann. Thorac. Surg., July 1, 2004; 78(1): 181 - 187.
[Abstract] [Full Text] [PDF]

Home page
 Am. J. Physiol. Lung Cell. Mol. Physiol.Home page
J. W. Lee, B. Ovadia, A. Azakie, S. Salas, J. Goerke, J. R. Fineman, and J. A. Gutierrez
Increased pulmonary blood flow does not alter surfactant protein gene expression in lambs within the first week of life
Am J Physiol Lung Cell Mol Physiol, June 1, 2004; 286(6): L1237 - L1243.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
B. W. Duncan, N. C. Poirier, R. B. B. Mee, J. J. Drummond-Webb, A. Qureshi, C. I. Mesia, J. A. Graney, C. L. Malek, and L. A. Latson
Selective timing for the arterial switch operation
Ann. Thorac. Surg., May 1, 2004; 77(5): 1691 - 1696.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
H. Takayama, A. Sekiguchi, M. Chikada, M. Noma, A. Ishizawa, and S. Takamoto
Mortality of pulmonary artery banding in the current era: recent mortality of PA banding
Ann. Thorac. Surg., October 1, 2002; 74(4): 1219 - 1224.
[Abstract] [Full Text] [PDF]

Home page
 Arch. Dis. Child. Fetal Neonatal Ed.Home page
Z Kecskes and D W Cartwright
Poor outcome of very low birthweight babies with serious congenital heart disease
Arch. Dis. Child. Fetal Neonatal Ed., July 1, 2002; 87(1): F31 - 33.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
D. B. McElhinney, S.-G. Yang, A. N. Hogarty, J. Rychik, M. M. Gleason, C. H. Zachary, J. J. Rome, T. R. Karl, W. M. DeCampli, T. L. Spray, et al.
Recurrent arch obstruction after repair of isolated coarctation of the aorta in neonates and young infants: Is low weight a risk factor?
J. Thorac. Cardiovasc. Surg., November 1, 2001; 122(5): 883 - 890.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
E. A. Bacha, M. Almodovar, D. L. Wessel, D. Zurakowski, J. E. Mayer Jr, R. A. Jonas, and P. J. del Nido
Surgery for coarctation of the aorta in infants weighing less than 2 kg
Ann. Thorac. Surg., April 1, 2001; 71(4): 1260 - 1264.
[Abstract] [Full Text] [PDF]

Home page
 PediatricsHome page
D. B. McElhinney, H. L. Hedrick, D. M. Bush, G. R. Pereira, P. W. Stafford, J. W. Gaynor, T. L. Spray, and G. Wernovsky
Necrotizing Enterocolitis in Neonates With Congenital Heart Disease: Risk Factors and Outcomes
Pediatrics, November 1, 2000; 106(5): 1080 - 1087.
[Abstract] [Full Text]

Home page
 Eur. J. Cardiothorac. Surg.Home page
F. Haas, C. S. Goldberg, R. G. Ohye, R. S. Mosca, and E. L. Bove
Primary repair of aortic arch obstruction with ventricular septal defect in preterm and low birth weight infants
Eur. J. Cardiothorac. Surg., June 1, 2000; 17(6): 643 - 647.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
D. Picarelli, J. Surraco, C. Zuniga, C. Peluffo, R. Anzibar, J. Tambasco, R. Leone, J. Nozar, and P. Duhagon
SURGICAL MANAGEMENT OF ACTIVE INFECTIVE ENDOCARDITIS IN A PREMATURE NEONATE WEIGHING 950 GRAMS
J. Thorac. Cardiovasc. Surg., February 1, 2000; 119(2): 380 - 381.
[Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 1999 by The American Association for Thoracic Surgery.