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KMID : 0364019960290121316
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Korean Journal of Thoracic and Cardiovascular Surgery
1996 Volume.29 No. 12 p.1316 ~ p.1322
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The Surgical Case Analysis of Congenital Heart Disease -A review of 1,060 Cases
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Abstract
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From May 1977 to December 1994, 1,060 cases of open heart surgery for congenital heart disease were performed under cardiopulmonary bypass in Chonnam University Hospital. They were divided into two groups; group A(677 cases, from May 1977 to
December
1989), group B(383 cases, from January 1990 to December 1994), to be compared and analized.
Of the 1,060 cases, there were 889 acyanotic(83.9%) and 171 cyanotic(16.1%).
The operative mortality was 7.8% in group A and 5.7% in group B(total=6.6%).
The operative mortality for group A was 25% in cyanotic disease and 3.7% in acyanotic disease, respectively in group B, it was 23.8%, 3.2%.
There were 19 patients(2.8%) and 78 patients(20.4%) with body weight under 10kg in group A and group B respectively, The operative mortality for these patients were 31.6% in A group and 16.1% in B group.
In result, increasing trend in congenital heart disease in patients under 10kg of body weight has been noted, whereas mortality has decreased.
The operative mortality of tetralogy of Fallot has decreased in group B than group A. These results suggest that the operative result have improved in recent years.
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