J.Jpn. Surg. Soc.. 81(9): 882-886, 1980

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Report on the annual meeting

LONG-TERM RESULTS FOLLOWING SURGICAL REPAIR OF CERTAIN CONGENITAL HEART DISEASE

The late results following surgical repair of congenital heart diseases such as ventricular septal defect, d-transposition of the great arteries, total anomalous pulmonary venous return, and coarctation of the aorta, in infants less than 2 year of age are reviewed.
In VSD, the late results up to 11 years after surgery are excellent in majority of patients, and normal physical and psychological development are achieved in all patients.
In d-TGA, now 80% of patients can be salvaged with intraatrial baffle operation. However, late death due to dysrhythmia and pulmonary venous obstruction occured in as high as 25% of patients. Further refinement of surgical procedure is mandatary to minimize those complication.
In coarctation of the aorta, all survivors are leading normal life and no significant hemodynamic abnormality are revealed. In majority of patients, however, growth of aortic anastomosis was insufficient.
In total anomalous pulmonary venous return, all long term survivors are leading normal life. Only concern is postoperative arrhythmias.

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