Skip to main content
British Heart Journal logoLink to British Heart Journal
. 1981 Jul;46(1):55–62. doi: 10.1136/hrt.46.1.55

Congenital heart disease among 160 480 liveborn children in Liverpool 1960 to 1969. Implications for surgical treatment.

D F Dickinson, R Arnold, J L Wilkinson
PMCID: PMC482602  PMID: 7272113

Abstract

Among 160 480 children born alive between 1960 and 1969 in Liverpool, 884 patients with structural congenital heart disease were identified. Data on these patients have been reviewed in order to estimate the number likely to need cardiac surgery during childhood and adolescence. Though only 33.9% of patients had surgery, we estimate that if current policies for management were followed, 475 (53.7%) patients would not require surgery. Extrapolation of this data suggests that each year in England and Wales approximately 830 infants (1383 per million livebirths) will require cardiac surgery within the first year of life and a further 1424 operations (2374 per million livebirths) will be required in later childhood or adolescence. No attempt has been made to estimate the number of operations for congenital heart disease which may prove necessary in adult life.

Full text

PDF
55

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Barratt-Boyes B. G., Neutze J. M., Seelye E. R., Simpson M. Complete correction of cardiovascular malformations in the first year of life. Prog Cardiovasc Dis. 1972 Nov-Dec;15(3):229–253. doi: 10.1016/0033-0620(72)90027-8. [DOI] [PubMed] [Google Scholar]
  2. Bound J. P., Logan W. F. Incidence of congenital heart disease in Blackpool 1957-1971. Br Heart J. 1977 Apr;39(4):445–450. doi: 10.1136/hrt.39.4.445. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Cooke R. W., Pickering D. Poor response to oral indomethacin therapy for persistent ductus arteriosus in very low birthweight infants. Br Heart J. 1979 Mar;41(3):301–303. doi: 10.1136/hrt.41.3.301. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Fontan F., Baudet E. Surgical repair of tricuspid atresia. Thorax. 1971 May;26(3):240–248. doi: 10.1136/thx.26.3.240. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Fyler D. C., Parisi L., Berman M. A. The regionalization of infant cardiac care in New England. Cardiovasc Clin. 1972;4(3):339–356. [PubMed] [Google Scholar]
  6. Hamilton D. I., Di Eusanio G., Sandrasagra F. A., Donnelly R. J. Early and late results of aortoplasty with a left subclavian flap for coarctation of the aorta in infancy. J Thorac Cardiovasc Surg. 1978 May;75(5):699–704. [PubMed] [Google Scholar]
  7. Heymann M. A., Rudolph A. M., Silverman N. H. Closure of the ductus arteriosus in premature infants by inhibition of prostaglandin synthesis. N Engl J Med. 1976 Sep 2;295(10):530–533. doi: 10.1056/NEJM197609022951004. [DOI] [PubMed] [Google Scholar]
  8. Hoffman J. I., Christianson R. Congenital heart disease in a cohort of 19,502 births with long-term follow-up. Am J Cardiol. 1978 Oct;42(4):641–647. doi: 10.1016/0002-9149(78)90635-5. [DOI] [PubMed] [Google Scholar]
  9. Hoffman J. I. Natural history of congenital heart disease. Problems in its assessment with special reference to ventricular septal defects. Circulation. 1968 Jan;37(1):97–125. doi: 10.1161/01.cir.37.1.97. [DOI] [PubMed] [Google Scholar]
  10. Izukawa T., Mulholland H. C., Rowe R. D., Cook D. H., Bloom K. R., Trusler G. A., Williams W. G., Chance G. W. Structural heart disease in the newborn. Changing profile: comparison of 1975 with 1965. Arch Dis Child. 1979 Apr;54(4):281–285. doi: 10.1136/adc.54.4.281. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Kenna A. P., Smithells R. W., Fielding D. W. Congenital heart disease in Liverpool: 1960--69. Q J Med. 1975 Jan;44(173):17–44. [PubMed] [Google Scholar]
  12. MUSTARD W. T., KEITH J. D., TRUSLER G. A., FOWLER R., KIDD L. THE SURGICAL MANAGEMENT OF TRANSPOSITION OF THE GREAT VESSELS. J Thorac Cardiovasc Surg. 1964 Dec;48:953–958. [PubMed] [Google Scholar]
  13. Macartney F. A better deal for newborns with congenital heart disease. Arch Dis Child. 1979 Apr;54(4):268–270. doi: 10.1136/adc.54.4.268. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. Mitchell S. C., Korones S. B., Berendes H. W. Congenital heart disease in 56,109 births. Incidence and natural history. Circulation. 1971 Mar;43(3):323–332. doi: 10.1161/01.cir.43.3.323. [DOI] [PubMed] [Google Scholar]
  15. Neal W. A., Kyle J. M., Mullett M. D. Failure of indomethacin therapy to induce closure of patent ductus arteriosus in premature infants with respiratory distress syndrome. J Pediatr. 1977 Oct;91(4):621–623. doi: 10.1016/s0022-3476(77)80519-2. [DOI] [PubMed] [Google Scholar]
  16. Rastelli G. C., Wallace R. B., Ongley P. A. Complete repair of transposition of the great arteries with pulmonary stenosis. A review and report of a case corrected by using a new surgical technique. Circulation. 1969 Jan;39(1):83–95. doi: 10.1161/01.cir.39.1.83. [DOI] [PubMed] [Google Scholar]
  17. Report of Inter-Society Commission for Heart Disease Resources. II. Cardiovascular Disease--acute care. Resources for the optimal acute care of patients with congenital heart disease. Circulation. 1971 Jan;43(1):A123–A133. [PubMed] [Google Scholar]
  18. SMITHELLS R. W. The Liverpool Congenital Abnormalities Registry. Dev Med Child Neurol. 1962 Jun;4:320–324. doi: 10.1111/j.1469-8749.1962.tb03174.x. [DOI] [PubMed] [Google Scholar]

Articles from British Heart Journal are provided here courtesy of BMJ Publishing Group

RESOURCES