The Japanese journal of surgery

, Volume 11, Issue 3, pp 154–161 | Cite as

Somatic and psychomotor development of children after hypothermic open-heart surgery

  • Hiroshi Shida
  • Masami Morimoto
  • Koichi Inokawa
  • Yutaka Ikeda
  • Jiro Tsugane
  • Hideki Yuzuriha


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 words

somatic development psychomotor development ventricular septal defect hypothermia open-heart surgery 


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Copyright information

© The Japan Surgical Society 1981

Authors and Affiliations

  • Hiroshi Shida
    • 1
  • Masami Morimoto
    • 1
  • Koichi Inokawa
    • 1
  • Yutaka Ikeda
    • 1
  • Jiro Tsugane
    • 1
  • Hideki Yuzuriha
    • 1
  1. 1.The Second Department of Surgery, Research Laboratory for Cardiovascular DiseasesShinshu University School of MedicineMatsumotoJapan

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