山梨医科大学雑誌　第6巻4号　165-171(1991)

Surgical Options in Congenital Heart Diseases in Infants Less than
Three Months of Age; A Review of Seven Years' Experience

Tetsunosuke MATSUKAWA, Ryoichi HASHIMOTO, Shinpei YOSHII, Shigeru HOSAKA, Shoji SUZUKI,
Toru NISHINO, Hiroaki SASAKI, Atsushi YANAI, Takayuki KOMAI, Hisashi SUGIYAMA, Atsutoshi TSUJI,
and Akira UENO

Abstract: During a 7-year period from March 1984 to June 1991, 32 consecutive infants less than 3 months of age underwent 39 surgical procedures for congenital heart disease (both palliative procedures and one-stage repair) at the Yamanashi Medical College Hospital. Their ages ranged from 5 days to about 2 months.
There were 12 hospital deaths, with an overall mortality rate of 37%. Death rates in the one-stage repair and palliative surgery groups were 33% and 40%, respectively. Since 1989, the number of infants treated at less than one month of age (the neonatal period) has increased and the overall results have improved. Our recent operative mortality rate in infants less than 3 months of age was 24%.
We believe that the sooner such patients have an operation, even before the onset of symptoms, the better will be the outcome. This emphasizes the importance of early accurate enchocardiographic diagnosis and a short program of aggresive preoperative medical therapy. Finally, precise surgical treatment provides the best outcome in early infancy.

Key words: Congenital heart disease, Early infancy, Palliative, Corrective surgery




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