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Incidence of neurological complications of surgery for congenital heart disease

Incidence of neurological complications of surgery for congenital heart disease
Incidence of neurological complications of surgery for congenital heart disease

A total of 523 cardiac surgical discharge summaries were searched for recorded evidence of adverse neurological events occurring between operation and time of discharge. Neurological events were recorded in 31 and included one or more of seizure disorder (n = 16), pyramidal signs (n = 11), extrapyramidal signs (n = 8), coma (n = 6), and neuro-ophthalmic deficits (n = 6). There were significantly more adverse neurological events after repairs for arch anomalies (16.6% of cases). There was also an association with the length of cardiopulmonary bypass and a period of low perfusion pressure either intraoperatively or postoperatively. Of the 19 out of 23 survivors in whom long term outcome data were available, four were normal and six had persisting neurological problems directly related to the perioperative period. In a further nine of the 19 survivors, estabilshed preoperative neurodevelopmental abnormality probably contributed to their present neurological status, in addition to perioperative events. In view of the way these data were collected, this study must represent the minimum incidence of neurological events in children undergoing cardiac surgery.

brain, congenital heart disease, heart surgery
0003-9888
418-422
Fallon, P.
448d79fe-cdb4-427f-aa50-492760899806
Aparicio, J.M.
bb749d5c-1d6b-45bc-b0df-44760ec629ec
Elliott, M.J.
413b62bf-9681-4b82-89ac-86141a84916c
Kirkham, F.J.
1dfbc0d5-aebe-4439-9fb2-dac6503bcd58
Fallon, P.
448d79fe-cdb4-427f-aa50-492760899806
Aparicio, J.M.
bb749d5c-1d6b-45bc-b0df-44760ec629ec
Elliott, M.J.
413b62bf-9681-4b82-89ac-86141a84916c
Kirkham, F.J.
1dfbc0d5-aebe-4439-9fb2-dac6503bcd58

Fallon, P., Aparicio, J.M., Elliott, M.J. and Kirkham, F.J. (1995) Incidence of neurological complications of surgery for congenital heart disease. Archives of Disease in Childhood, 72 (5), 418-422. (doi:10.1136/adc.72.5.418).

Record type: Article

Abstract

A total of 523 cardiac surgical discharge summaries were searched for recorded evidence of adverse neurological events occurring between operation and time of discharge. Neurological events were recorded in 31 and included one or more of seizure disorder (n = 16), pyramidal signs (n = 11), extrapyramidal signs (n = 8), coma (n = 6), and neuro-ophthalmic deficits (n = 6). There were significantly more adverse neurological events after repairs for arch anomalies (16.6% of cases). There was also an association with the length of cardiopulmonary bypass and a period of low perfusion pressure either intraoperatively or postoperatively. Of the 19 out of 23 survivors in whom long term outcome data were available, four were normal and six had persisting neurological problems directly related to the perioperative period. In a further nine of the 19 survivors, estabilshed preoperative neurodevelopmental abnormality probably contributed to their present neurological status, in addition to perioperative events. In view of the way these data were collected, this study must represent the minimum incidence of neurological events in children undergoing cardiac surgery.

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Published date: May 1995
Keywords: brain, congenital heart disease, heart surgery

Identifiers

Local EPrints ID: 429787
URI: http://eprints.soton.ac.uk/id/eprint/429787
ISSN: 0003-9888
PURE UUID: 2c5fca61-0acf-4f24-b717-882496ba95f6
ORCID for F.J. Kirkham: ORCID iD orcid.org/0000-0002-2443-7958

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Date deposited: 05 Apr 2019 16:30
Last modified: 30 Jan 2020 01:31

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Contributors

Author: P. Fallon
Author: J.M. Aparicio
Author: M.J. Elliott
Author: F.J. Kirkham ORCID iD

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