J.Jpn. Surg. Soc.
ISSN 1880-1129

[Abstract] [Full Text HTML] [Full Text PDF] （in Japanese / 246KB） [Members Only]

J.Jpn. Surg. Soc.. 112(4): 231-234, 2011

Feature topic

INFLUENCE OF CONGENITAL HEART DEFECTS ON OUTCOMES OF NONCARDIAC SURGERY IN NEONATES

1) Department of Cardiovascular Surgery, Kanagawa Children's Medical Center, Yokohama, Japan
2) Department of Neonatology, Kanagawa Children's Medical Center, Yokohama, Japan
3) Department of Cardiology, Kanagawa Children's Medical Center, Yokohama, Japan
4) Department of Surgery, Kanagawa Children's Medical Center, Yokohama, Japan

Toshihide Asou1), Yuko Takeda1), Hideki Tatewaki1), Motoyoshi Kawataki2), Seiyo Yasui3), Youkatsu Ohama4)

We reviewed our experience to examine the outcomes of noncardiac surgery in neonates with congenital cardiac defects and assess future changes in the management of noncardiac surgery in neonates for whom new cardiac surgical management strategies will develop based on current progress in prenatal diagnosis. Forty-five neonates with congenital cardiac defects underwent noncardiac surgery in our institution. Subsequent cardiac surgery was performed in 26 of those neonates. No patient underwent cardiac surgery before noncardiac surgery. However, rescue neonatal cardiac surgery, which is performed within 24 h after birth, has become more common because of the progress in prenatal diagnosis. Under these circumstances in neonatal cardiac surgery, the timing or approach of cardiac and noncardiac surgery should be reconsidered in the next few years. We emphasize the importance of cooperation among relevant specialists in the management of neonates with multiple disorders to increase the benefits offered by developments in prenatal diagnosis.

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