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The Annals of Thoracic Surgery, Vol 22, 415-423, Copyright © 1976 by The Society of Thoracic Surgeons
RW Pooley, CJ Hayes, RN Edie, WM Gersony, FO Bowman Jr and JR Malm
During the 9-year period from 1967 through 1975, 124 open-heart operations
were performed on infants less than 1 year of age with 35 operative deaths
(28%). Ninety-seven of these procedures used continuous cardiopulmonary
bypass with normothermia or mild hypothermia, and 27 were done under deep
hypothermia and circulatory arrest. Mortality and morbidity were similar
regardless of the operative technique, although deep hypothermia
facilitated the repair of complex lesions. The highest mortality occurred
in infants less than 3 months of age. Respiratory insufficiency, usually
requiring prolonged ventilatory support, occurred only among infants who
had pulmonary overcirculation or congestion prior to operation. Adequacy of
intraoperative repair and postoperative care were the major determinants of
survival.
ARTICLES
Open-heart experience in infants using normothermia and deep hypothermia
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