Friedli B, Rouge J C, Faidutti B, Hahn C
Helv Paediatr Acta. 1978 Feb;32(6):443-9.
The results of total correction of congenital heart defects in the first year of life are presented. Overall surgical mortality in these generally highly symptomatic infants was 35%. The surgical risk is mainly related to the type of defect: mortality is low (10%) in uncomplicated septal defects and in transpositions of the great vessels, higher in the coarctation syndromes (30%), and considerable in complex heart defects. The weight of the infant seems to be another factor, surgical mortality being high when the patient's weight is less than 4.5 kg. Indications for palliative operation or total repair are discussed on the basis of the presented results.
本文展示了一岁以内先天性心脏缺陷完全矫正的结果。这些通常症状严重的婴儿的总体手术死亡率为35%。手术风险主要与缺陷类型有关:简单的间隔缺损和大动脉转位的死亡率较低(10%),缩窄综合征的死亡率较高(30%),复杂心脏缺陷的死亡率相当高。婴儿体重似乎是另一个因素,当患者体重低于4.5千克时,手术死亡率很高。基于所展示的结果,讨论了姑息性手术或完全修复的适应症。