Table 3.
Patient Identifier |
Postoperative Day of Death |
Cardiac Diagnosis | Procedure | Early Shunt Occlusion |
Late Shunt Occlusion |
Cause of Death |
---|---|---|---|---|---|---|
A | 12 | HLHS | Norwood / m-BTS | No | Yes | Late shunt occlusion. |
B | 13 | HLHS | Norwood / m-BTS | No | No | Well until POD 13; autopsy suggested acute myocardial infarction. |
C | 17 | Heterotaxy, RVDAVC, dTGA, TAPVR |
m-BTS, bilateral PA plasty, TAPRV repair |
No | No | Arrested POD 1. Placed on ECMO. Cardiac function remained poor; withdrew care. |
D | 18 | TA, VSD | Norwood / m-BTS | No | Yes | Late shunt occlusion. |
E | 31 | VSD, PS, DORV | m-BTS | No | No | Transfusion reaction POD 0 with associated arrest with significant sequellae; made DNR. |
F | 131 | HLHS | Norwood / m-BTS, PA debanding, bilateral PA plasty |
No | No | Micropremature infant. Remained in hospital through Glenn; thrombus in Glenn circuit. |
DORV = Double outlet right ventricle; dTGA = Dextro-transposition of the great arteries; DNR = Do not resuscitate; ECMO = Extracorporeal membrane oxygenation; HLHS = Hypoplastic left heart syndrome; m-BTS = modified Blalock-Taussig shunt; PA = Pulmonary artery; POD = Postoperative day; PS = Pulmonary stenosis; RVDAVC = Right ventricle dominant atrioventricular canal; TA = Tricuspid atresia; TAPVR = Total anomalous pulmonary venous return; VSD = Ventricular septal defect