Impact of Weight on Outcomes in Repair of Congenital Heart Defects
Laura Flannery
Manuella Lahoud-Rahme
Results of 102 Cases of Complete Repair of Congenital Heart Defects in Patients Weighing 700 to 2500 Grams
Reddy VM, McElhinney DB, Sagrado T, et al. J Thorac Cardiovasc Surg. 1999;117(2):324–331
Background
Infants with congenital heart disease (CHD) are nearly twice as likely to be low birth weight (LBW) as infants without CHD.1 Previous studies suggested that LBW infants have increased risk of poor outcomes from corrective surgical repair, likely due to the effects of cardiopulmonary bypass and associated intracranial bleeding. Consequently, definitive surgical intervention was often delayed, leading to potential heart failure, cardiogenic shock, and death. This study aimed to elucidate if weight or age was correlated with outcomes for infants who undergo CHD repair.
Objectives
To determine early and late outcomes of CHD repair in LBW infants.
Methods
Retrospective record review at 1 US center from 1990 to 1997 with cross-sectional follow-up in 1997.