Intracardiac surgery with extracorporeal circulation in infants: indications and results

L. I. Bonchek, R. P. Anderson, J. A. Wood, R. D. Chapman, Albert Starr

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

Experience with intracardiac surgery in infants indicates that for most anomalies the operative and late mortality after primary total correction is lower than the combined mortality after early palliation and delayed correction. In addition, there are secondary benefits of primary total correction in terms of reversal of retarded physical growth and social development and alleviation of parental anxiety. The relative merits of conventional cardiopulmonary bypass versus profound hypothermia, circulatory arrest, and limited cardiopulmonary bypass are as yet incompletely elucidated, particularly regarding the long term effects of the second method on cerebral function. Indications for the use of each method will undoubtedly become clearer as reports of longer follow up become available. Intracardiac operation using conventional cardiopulmonary bypass has been carried out in 108 infants under 2 years of age. Late hemodynamic studies and intellectual and social developmental testing indicate gratifying long term results with this technique. (28 references)

Original languageEnglish (US)
Pages (from-to)280-295
Number of pages16
JournalAnnals of Thoracic Surgery
Volume17
Issue number3
DOIs
StatePublished - 1974

Fingerprint

Extracorporeal Circulation
Cardiopulmonary Bypass
Mortality
Hypothermia
Growth and Development
Anxiety
Hemodynamics

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery

Cite this

Intracardiac surgery with extracorporeal circulation in infants : indications and results. / Bonchek, L. I.; Anderson, R. P.; Wood, J. A.; Chapman, R. D.; Starr, Albert.

In: Annals of Thoracic Surgery, Vol. 17, No. 3, 1974, p. 280-295.

Research output: Contribution to journalArticle

Bonchek, L. I. ; Anderson, R. P. ; Wood, J. A. ; Chapman, R. D. ; Starr, Albert. / Intracardiac surgery with extracorporeal circulation in infants : indications and results. In: Annals of Thoracic Surgery. 1974 ; Vol. 17, No. 3. pp. 280-295.
@article{ae425db344594ad5a6d78d8b12dd6f82,
title = "Intracardiac surgery with extracorporeal circulation in infants: indications and results",
abstract = "Experience with intracardiac surgery in infants indicates that for most anomalies the operative and late mortality after primary total correction is lower than the combined mortality after early palliation and delayed correction. In addition, there are secondary benefits of primary total correction in terms of reversal of retarded physical growth and social development and alleviation of parental anxiety. The relative merits of conventional cardiopulmonary bypass versus profound hypothermia, circulatory arrest, and limited cardiopulmonary bypass are as yet incompletely elucidated, particularly regarding the long term effects of the second method on cerebral function. Indications for the use of each method will undoubtedly become clearer as reports of longer follow up become available. Intracardiac operation using conventional cardiopulmonary bypass has been carried out in 108 infants under 2 years of age. Late hemodynamic studies and intellectual and social developmental testing indicate gratifying long term results with this technique. (28 references)",
author = "Bonchek, {L. I.} and Anderson, {R. P.} and Wood, {J. A.} and Chapman, {R. D.} and Albert Starr",
year = "1974",
doi = "10.1016/S0003-4975(10)65651-2",
language = "English (US)",
volume = "17",
pages = "280--295",
journal = "Annals of Thoracic Surgery",
issn = "0003-4975",
publisher = "Elsevier USA",
number = "3",

}

TY - JOUR

T1 - Intracardiac surgery with extracorporeal circulation in infants

T2 - indications and results

AU - Bonchek, L. I.

AU - Anderson, R. P.

AU - Wood, J. A.

AU - Chapman, R. D.

AU - Starr, Albert

PY - 1974

Y1 - 1974

N2 - Experience with intracardiac surgery in infants indicates that for most anomalies the operative and late mortality after primary total correction is lower than the combined mortality after early palliation and delayed correction. In addition, there are secondary benefits of primary total correction in terms of reversal of retarded physical growth and social development and alleviation of parental anxiety. The relative merits of conventional cardiopulmonary bypass versus profound hypothermia, circulatory arrest, and limited cardiopulmonary bypass are as yet incompletely elucidated, particularly regarding the long term effects of the second method on cerebral function. Indications for the use of each method will undoubtedly become clearer as reports of longer follow up become available. Intracardiac operation using conventional cardiopulmonary bypass has been carried out in 108 infants under 2 years of age. Late hemodynamic studies and intellectual and social developmental testing indicate gratifying long term results with this technique. (28 references)

AB - Experience with intracardiac surgery in infants indicates that for most anomalies the operative and late mortality after primary total correction is lower than the combined mortality after early palliation and delayed correction. In addition, there are secondary benefits of primary total correction in terms of reversal of retarded physical growth and social development and alleviation of parental anxiety. The relative merits of conventional cardiopulmonary bypass versus profound hypothermia, circulatory arrest, and limited cardiopulmonary bypass are as yet incompletely elucidated, particularly regarding the long term effects of the second method on cerebral function. Indications for the use of each method will undoubtedly become clearer as reports of longer follow up become available. Intracardiac operation using conventional cardiopulmonary bypass has been carried out in 108 infants under 2 years of age. Late hemodynamic studies and intellectual and social developmental testing indicate gratifying long term results with this technique. (28 references)

UR - http://www.scopus.com/inward/record.url?scp=0016196492&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0016196492&partnerID=8YFLogxK

U2 - 10.1016/S0003-4975(10)65651-2

DO - 10.1016/S0003-4975(10)65651-2

M3 - Article

C2 - 4591528

AN - SCOPUS:0016196492

VL - 17

SP - 280

EP - 295

JO - Annals of Thoracic Surgery

JF - Annals of Thoracic Surgery

SN - 0003-4975

IS - 3

ER -