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Asian Cardiovasc Thorac Ann 2003;11:226-228
© 2003 Asia Publishing EXchange Ltd

ORIGINAL CONTRIBUTION

Comparison of Different Approaches for Pediatric Congenital Heart Diseases

Wu Qingyu, MD, Luo Guohua, MD, Li Shoujun, MD, Shen Xiangdong, MD, Lu Feng, MD

Department of Cardiac Surgery, Fuwai Hospital & Cardiovascular Institute, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, People’s Republic of China

For reprint information contact: Wu Qingyu, MD Tel: 86 01 68332376 Fax: 86 01 68332176 email: wuqingyu{at}public.bta.net.cn Department of Cardiac Surgery, Fuwai Hospital & Cardiovascular Institute, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100037, People’s Republic of China.

To compare the clinical results of different surgical approaches for congenital heart disease in pediatric patients, 1,669 cases of atrial septal defect, ventricular septal defect, or tetralogy of Fallot, which were corrected from January 1999 to December 2001, were classified according to approach (sternotomy, ministernotomy, or minithoracotomy). In cases of ventricular septal defect, the incidence of pulmonary complications was significantly higher in the minithoracotomy group than in the full sternotomy or ministernotomy groups. In patients with tetralogy of Fallot, hemoglobin concentration was higher, oxygen saturation was lower, and more patients required a transanular patch in the sternotomy group than in the other groups, but the clinical results were similar. Patients with complex defects or severe pulmonary hypertension should undergo a full sternotomy.






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