Abstract
Between April 1970 and December 1977, 134 infants aged 2 days to 12 months underwent open heart surgery using profound hypothermia and total circulatory arrest. The technique of bypass (core) cooling is described. Results are reviewed for 4 principal diagnoses: 'simple' transposition of the great vessels, total anomalous pulmonary venous connection, ventricular septal defect, and Fallot's tetralogy. A mortality of 44 per cent in 32 cases during the first 3-year period has been reduced to 22 per cent in 102 cases during the subsequent 5 years. The overall mortality for the entire period was 28 per cent. The policy for the management of each diagnostic group is outlined.
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Selected References
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- Bailey L. L., Takeuchi Y., Williams W. G., Trusler G. A., Mustard W. T. Surgical management of congenital cardiovascular anomalies with the use of profound hypothermia and circulatory arrest. Analysis of 180 consecutive cases. J Thorac Cardiovasc Surg. 1976 Apr;71(4):485–492. [PubMed] [Google Scholar]
- Bonchek L. I., Anderson R. P., Wood J. A., Chapman R. D., Starr A. Intracardiac surgery with extracorporeal circulation in infants: indications and results. Ann Thorac Surg. 1974 Mar;17(3):280–295. doi: 10.1016/s0003-4975(10)65651-2. [DOI] [PubMed] [Google Scholar]
- Breckenridge I. M., Oelert H., Graham G. R., Stark J., Waterston D. J., Bonham-Carter R. E. Open-heart surgery in the first year of life. J Thorac Cardiovasc Surg. 1973 Jan;65(1):58–64. [PubMed] [Google Scholar]
- Castaneda A. R., Lamberti J., Sade R. M., Williams R. G., Nadas A. S. Open-heart surgery during the first three months of life. J Thorac Cardiovasc Surg. 1974 Nov;68(5):719–731. [PubMed] [Google Scholar]
- Dillard D. H., Mori H., Merendino K. A. Correction of heart disease in infancy utilizing deep hypothermia and total circulatory arrest. J Thorac Cardiovasc Surg. 1971 Jan;61(1):64–69. [PubMed] [Google Scholar]
- Hikasa Y., Shirotani H., Mori C., Kamiya T., Asawa Y. Open heart surgery in infants with an aid of hypothermic anesthesia. Nihon Geka Hokan. 1967 Jul 1;36(4):495–508. [PubMed] [Google Scholar]
- Nadas A. S., Fyler D. C., Castaneda A. R. The critically ill infant with congenital heart disease. Mod Concepts Cardiovasc Dis. 1973 Nov;42(11):53–58. [PubMed] [Google Scholar]
- Pooley R. W., Hayes C. J., Edie R. N., Gersony W. M., Bowman F. O., Jr, Malm J. R. Open-heart experience in infants using normothermia and deep hypothermia. Ann Thorac Surg. 1976 Nov;22(5):415–423. doi: 10.1016/s0003-4975(10)64449-9. [DOI] [PubMed] [Google Scholar]
- Sugimura S., Starr A. Cardiopulmonary bypass in infants under four months of age. J Thorac Cardiovasc Surg. 1977 Jun;73(6):894–899. [PubMed] [Google Scholar]
- Venugopal P., Olszowka J., Wagner H., Vlad P., Lambert E., Subramanian S. Early correction of congenital heart disease with surface-induced deep hypothermia and circulatory arrest. J Thorac Cardiovasc Surg. 1973 Sep;66(3):375–386. [PubMed] [Google Scholar]