Raffa H, Toonisi T
Indian Heart J. 1989 Mar-Apr;41(2):123-6.
661 consecutive children below the age of 14 years underwent open and closed heart surgery at the Saudi Heart Centre during a 4-year period for congenital cardiopathies of simple and complex nature with an average mortality rate of 10.5%. Congenital cardiopathies in Saudi Arabia differ from those seen in the Western world by the relative frequency of cyanotic heart disease, the presence of multiple complex congenital anomalies together, the advanced pulmonary hypertension, a rather aggressive nature of the cardiac diseases, and late referral of the children who often suffer also from congestive heart failure, reduced general condition and a malnutritional state.
在4年期间，沙特心脏中心对661名14岁以下儿童进行了心脏直视手术和非心脏直视手术，治疗简单和复杂性质的先天性心脏病，平均死亡率为10.5%。沙特阿拉伯的先天性心脏病与西方世界所见的不同，表现为青紫型心脏病相对发病率较高、多种复杂先天性异常同时存在、严重肺动脉高压、心脏病具有较强侵袭性，以及患儿转诊较晚，这些患儿常伴有充血性心力衰竭、全身状况较差和营养不良。
