Somatic and psychomotor development of children after hypothermic open-heart surgery
- 19 Downloads
One hundred and seven patients with ventricular septal defect who survived one and a half to thirteen years after hypothermic open-heart surgery were reviewed with respect to somatic, intellectual, and psychomotor development. There were no negative effects associated with deep hypothermic arrest in any of these areas. Abnormal electroencephalograms were seen in one-half the number of patients examined, but there was no close relation between the circulatory arrest period and electroencephalographic findings. CT scanning of the brain indicated that the abnormality decreased with the lapse of the time after hypothermic open-heart surgery. It would appear that hypothermic open-heart surgery with limited circulatory arrest is a useful method, providing that the circulatory arrest is not allowed to exceed a limited period. However electroencephalographic assessment suggests that postoperative cerebral abnormalities may occur more frequently than previously suspected, despite the lack of preoperative abnormalities on the electroencephalograms.
Key wordssomatic development psychomotor development ventricular septal defect hypothermia open-heart surgery
Unable to display preview. Download preview PDF.
- 3.Pagni, C.A. and Courjon, J.: Neurological observations during hypothermia. Acta Neurochir. Suppl. 13: 23–34, 1964.Google Scholar
- 8.Brunberg, J.A., Relly, E.L. and Doty, D.B.: Central nervous system consequences in infants of cardiac surgery using deep hypothermia and circulatory arrest. Circulation, 49, 50 (Suppl. II): 60–68, 1974.Google Scholar
- 9.Stevenson, J.G., Stone, E.F., Dillard, D.H. and Morgan, B.C.: Intellectual development of children subjected to prolonged circulatory arrest during hypothermic open-heart surgery in infancy. Circulation 49, 50 (Suppl II): 54–59, 1974.Google Scholar
- 13.Nishikawa, K., Niitu, K., Yasui, Y., Murai, M., Uchiyama, T., Iwabuchi, K., Oikawa, U., Inoue, H., Ara, H., Isono, T., Kumagai, U., Uchiyama, T., Wakuzawa, R., Shibata, S., Chiba, T., Saito, H., Hosoi, N., Miyamoto, A., Okada, K.: Cerebral dysfunction following open heart surgery under surface induced hypothermia. Kyobu Geka (Jpn. J. Thorac. Surg.) 24: 467–477, 1971 (with English Abst.).PubMedGoogle Scholar
- 14.Hosoi, Y., Okamura, H., Nakamura, J., Sagara, T., Matsuoka, A., Sezaki, T., Yamashita, J., Kobayashi, H., Endo, T., Katsuta, S., Kabe, T., Saito, M.: Anesthetic management of surface induced profound hypothermia for open-heart surgery, especially, management of cooling process. Kyobu Geka (Jpn. J. Thorac. Surg.) 26: 91–99, 1973.PubMedGoogle Scholar
- 16.Shida, H., Morimoto, M., Inokawa, K., Tsugane, J. and Ikeda, Y.: Simple deep hypothermia for open-heart surgery. J. Cardiovasc. Surg., 20: 135–144, 1979.Google Scholar
- 19.Rosenthal, A. and Castaneda, A.R.: Growth and development after cardiovascular surgery in infants and children. Postoperative congenital heart diseases. pp. 119–129, Grune & Stratton, N.Y., 1975.Google Scholar