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Ann Thorac Surg 1990;50:105-109
© 1990 The Society of Thoracic Surgeons

Articles

Critical aortic stenosis in the first month of life: Surgical results in 26 infants

Tom R. Karl, MD, Shunji Sano, MD, William J. Brawn, FRCS1, Roger B.B. Mee, FRACS*

Victorian Pediatric Cardiac Surgical Unit, Royal Children's Hospital, Melbourne, Australia

Accepted for publication February 23, 1990.

* Address reprint requests to Mr Mee, Victorian Pediatric Cardiac Surgical Unit, Royal Children's Hospital, Flemington Rd, Parkville, Victoria, 3052 Australia.

Between 1980 and 1989, 26 infants aged less than 1 month underwent open aortic valvotomy for critical aortic stenosis. All had congestive heart failure requiring inotropic agents (58%), ventilation (42%), and/or prostaglandin E1 (35%) preoperatively. Nine patients with isolated aortic stenosis had an operative mortality of 0%, whereas 17 patients with other anatomical lesions had a 47% mortality (p < 0.01). Univariate analysis failed to identify additional risk factors other than year of operation (p < 0.05). There were four late deaths, three probably related to arrhythmia (actuarial survival at 113 months = 0.53). Two patients have required late reoperation; neither required valve replacement.




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