Noncardiac surgery in children with hypoplastic left heart syndrome

Adalberto Torres, John DiLiberti, Richard H. Pearl, Julie Wohrley, Gary W Raff, G. Kris Bysani, Linda M. Bond, Dale M. Geiss

Research output: Contribution to journalArticle

46 Scopus citations

Abstract

Background/Purpose: Hospital mortality rate among children with hypoplastic left heart syndrome (HLHS) after cardiac repair is well documented, but comparable data after noncardiac, surgical procedures are unknown. The authors hypothesized an increasing number of noncardiac procedures were being performed on children with HLHS, less than 2 years of age, from 1988 to 1997, and that these procedures were associated with a substantial mortality rate. Methods: A retrospective review of hospital discharge data for 2,457 children less than 2 years of age with HLHS for 1988 through 1997 was performed. The authors examined the outcomes of HLHS children undergoing only noncardiac surgical procedures during their hospital stay. Differences in hospital mortality rates between 1988 through 1992 versus 1993 through 1997 were assessed using the X2 square statistic. Results: Nineteen percent of the 147 children with HLHS undergoing noncardiac, surgical procedures died (95% Cl, 13% to 25%). Comparing the 2 study periods, there was no significant change in outcome among HLHS children undergoing noncardiac, surgical procedures (78% v. 83%; P > .1). There was no significant difference in the percentage of hospital discharges with noncardiac, surgical procedures performed per year. Conclusions: Although children with HLHS were not undergoing an increase in the number of noncardiac surgical procedures performed annually, even minor surgical procedures were associated with considerable mortality. Outcomes after noncardiac surgery in high-risk children with congenital heart disease warrant further investigation.

Original languageEnglish (US)
Pages (from-to)1399-1403
Number of pages5
JournalJournal of Pediatric Surgery
Volume37
Issue number10
DOIs
StatePublished - Oct 1 2002
Externally publishedYes

Keywords

  • Congenital heart disease
  • General surgery
  • Outcomes

ASJC Scopus subject areas

  • Surgery

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    Torres, A., DiLiberti, J., Pearl, R. H., Wohrley, J., Raff, G. W., Bysani, G. K., Bond, L. M., & Geiss, D. M. (2002). Noncardiac surgery in children with hypoplastic left heart syndrome. Journal of Pediatric Surgery, 37(10), 1399-1403. https://doi.org/10.1053/jpsu.2002.35377