Abstract
Between 1980 and 1989, 26 infants aged less than 1 month underwent open aortic valvotomy for critical aortic stenosis. All had congestive heart failure requiring inotropic agents (58%), ventilation (42%), and/or prostaglandin E1 (35%) preoperatively. Nine patients with isolated aortic stenosis had an operative mortality of 0%, whereas 17 patients with other anatomical lesions had a 47% mortality (p <0.01). Univariate analysis failed to identify additional risk factors other than year of operation (p <0.05). There were four late deaths, three probably related to arrhythmia (actuarial survival at 113 months = 0.53). Two patients have required late reoperation; neither required valve replacement.
| Original language | English |
|---|---|
| Pages (from-to) | 105-109 |
| Number of pages | 5 |
| Journal | Annals of Thoracic Surgery |
| Volume | 50 |
| Issue number | 1 |
| DOIs | |
| Publication status | Published - 1990 |
| Externally published | Yes |
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ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine
- Surgery
Cite this
Critical aortic stenosis in the first month of life : Surgical results in 26 infants. / Karl, Tom R.; Sano, Shunji; Brawn, William J.; Mee, Roger B B.
In: Annals of Thoracic Surgery, Vol. 50, No. 1, 1990, p. 105-109.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Critical aortic stenosis in the first month of life
T2 - Surgical results in 26 infants
AU - Karl, Tom R.
AU - Sano, Shunji
AU - Brawn, William J.
AU - Mee, Roger B B
PY - 1990
Y1 - 1990
N2 - Between 1980 and 1989, 26 infants aged less than 1 month underwent open aortic valvotomy for critical aortic stenosis. All had congestive heart failure requiring inotropic agents (58%), ventilation (42%), and/or prostaglandin E1 (35%) preoperatively. Nine patients with isolated aortic stenosis had an operative mortality of 0%, whereas 17 patients with other anatomical lesions had a 47% mortality (p <0.01). Univariate analysis failed to identify additional risk factors other than year of operation (p <0.05). There were four late deaths, three probably related to arrhythmia (actuarial survival at 113 months = 0.53). Two patients have required late reoperation; neither required valve replacement.
AB - Between 1980 and 1989, 26 infants aged less than 1 month underwent open aortic valvotomy for critical aortic stenosis. All had congestive heart failure requiring inotropic agents (58%), ventilation (42%), and/or prostaglandin E1 (35%) preoperatively. Nine patients with isolated aortic stenosis had an operative mortality of 0%, whereas 17 patients with other anatomical lesions had a 47% mortality (p <0.01). Univariate analysis failed to identify additional risk factors other than year of operation (p <0.05). There were four late deaths, three probably related to arrhythmia (actuarial survival at 113 months = 0.53). Two patients have required late reoperation; neither required valve replacement.
UR - http://www.scopus.com/inward/record.url?scp=0025336999&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0025336999&partnerID=8YFLogxK
U2 - 10.1016/0003-4975(90)90099-R
DO - 10.1016/0003-4975(90)90099-R
M3 - Article
C2 - 2369209
AN - SCOPUS:0025336999
VL - 50
SP - 105
EP - 109
JO - Annals of Thoracic Surgery
JF - Annals of Thoracic Surgery
SN - 0003-4975
IS - 1
ER -