Abstract

Review Article

Timing of cardiac surgery and other intervention among children with congenital heart disease: A review article

Chinawa JM*, Adiele KD, Ujunwa FA, Onukwuli VO, Arodiwe I, Chinawa AT, Obidike EO and Chukwu BF

Published: 09 August, 2019 | Volume 4 - Issue 2 | Pages: 094-099

Background: Early diagnosis and improved facilities are necessary for determining the optimal timing of surgery and other interventions in children with congenital heart diseases in Nigeria. This is because late presentation, late diagnosis and delayed surgery can lead to mortality and affect the quality of life among these children.

Objectives: This review article is aimed at enumerating the timing of cardiac surgeries and other interventions and to seek if there is any factor associated with the timing of cardiac surgery.

Methods: A search on PubMed database, World Health Organization libraries, Google scholar, TRIP database, and reference lists of selected articles on timing of cardiac surgery in children was done. The Cochrane Database of Systematic Reviews was also searched. We noted few data from African setting. Key words such as timing of cardiac surgery; children, congenital heart defect were used.

Conclusion: Appropriate timing for cardiac surgery in children with congenital heart disease is very important as late surgical intervention could result in several morbidities and mortality.

Read Full Article HTML DOI: 10.29328/journal.jccm.1001047 Cite this Article Read Full Article PDF

Keywords:

Timing of cardiac surgery; Children; Congenital heart defect

References

  1. Saxena A. Congenital cardiac surgery in the less privileged regions of the world. Expert Rev Cardiovasc Ther. 2009; 7: 1621-1629. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/19954323
  2. Tanner K, Sabrine N, Wren C. Cardiovascular malformations among preterm infants. Pediatrics. 2005; 116: e833-838. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/16322141
  3. Marelli AJ, Mackie AS, Ionescu-Ittu R, Rahme E, Pilote L. Congenital heart disease in the general population: changing prevalence and age distribution. Circulation. 2007; 115: 163-172. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/17210844
  4. Tchervenkov CI, Jacobs JP, Bernier PL, Stellin G. The improvement of care for paediatric and congenital cardiac disease across the World: a challenge for the World Society for Pediatric and Congenital Heart Surgery. Cardiol Young. 2008; 18: 63-69. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/19063776
  5. Noble S, Ibrahim R. Percutaneous interventions in adults with congenital heart disease: expanding indications and opportunities. Curr Cardiol Rep. 2009; 11: 306-313. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/19563731
  6. Singh GK, Balfour IC, Chen S, et al. Lesion specific pressure recovery phenomenon in pediatric patients: a simultaneous Doppler and catheter correlative study. J Am Coll Cardiol. 2003; 41: 493.
  7. Rao PS. Role of interventional cardiology in neonates: part II - Balloon angioplasty/valvuloplasty. Congenital Cardiol Today. 2008; 6: 1-14.
  8. Roheena ZP, Awais A, Muhammad MA. Earlier surgical intervention in congenital heart disease results in better outcome and resource utilization. BMC Health Serv Res. 2011; 11: 353. PubMed: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3277492/
  9. Chang RK, Chen AY, Klitzner TS. Factors associated with age at operation for children with congenital heart disease. Pediatrics. 2000; 105: 1073-1081. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/10790465
  10. Liberman RF, Getz KD, Lin AE, Higgins CA, Sekhavat S, et al. Delayed diagnosis of critical congenital heart defects: trends and associated factors. Pediatrics. 2014; 134: 373-381. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/25070301
  11. Roheena ZP, Awais A, Muhammad MA. Earlier surgical intervention in congenital heart disease results in better outcome and resource utilization. BMC Health Serv Res. 2011; 11: 353. PubMed: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3277492/
  12. Tariq W, Muhammad UR, Muhammad S. Surgical repair of partial atrioventricular septal defect. Pak J Med Sci. 2017; 33: 285-289. PubMed: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5432690/
  13. Backer CL, Mavroudis C. Atrioventricular Canal Defects, "Pediatric Cardiac Surgery" (4rth Edition), Carl L. Backer and Constantine Mavroudis. West Sussex: Wiley-Blackwell; 2013; 342-358.
  14. Jacobs JP, Elloit MJ. In. Atrioventricular Canal Defects "Mastery of Cardiothoracic Surgery". 3rd Edition. Larry R Kaiser, Irving L Kron, Thomas L Spray., editors. Philadelphia: Wolters Kluwer/Lippincott Williams. 2014; 892-909.
  15. Nicholas TK, Eugene HB, Frank LH, James K Kirklin Atrioventricular Septal Defect, "Kirklin/Barratt-Boyes Cardiac Surgery". Colleen Koch, Chandra Ramamoorthy. 4th edition. Philadelphia: Elsevier 2013; 1228-1273.
  16. Rao PS, Harris AD. Recent advances in managing septal defects: ventricular septal defects and atrioventricular septal defects. F1000Res. 2018; 7: F1000. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/29770201
  17. Rao PS. Diagnosis and management of acyanotic heart disease: part II -- left-to-right shunt lesions. Indian J Pediatr. 2005; 72: 503-512. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/15985740
  18. Kowalsky RH, Newburger JW, Rand WM, Castaneda AR. Factors determining access to surgery for children with congenital cardiac disease in Guatemala, Central America. Cardiol Young. 2006; 16: 385-391. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/16839431
  19. Tynan M, Anderson RH. Ventricular Septal Defect. Paediatric Cardiology, 2nd ed. Edinburgh, Scotland: Churchill Livingstone. 2002; 983-1014.
  20. Rao PS. Consensus on timing of intervention for common congenital heart diseases: part I - acyanotic heart defects. Indian J Pediatr. 2013; 80: 32-38. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/22752706
  21. Chelo D, Nguefack F, Menanga AP, Ngo Um S, Gody JC, et al. Spectrum of heart diseases in children: an echocardiographic study of 1,666 subjects in a pediatric hospital, Yaounde, Cameroon. Cardiovasc Diagn Ther. 2016; 6: 10-19. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/26885487
  22. Nadas AS, Thilenius OG, Lafarge CG, Hauck AJ. Ventricular Septal Defect with Aortic Regurgitation: Medical and Pathologic Aspects. Circulation. 1964; 29: 862-873. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/14172095
  23. Rao PS: Congenital heart defects-A review. In. Rao PS, ed. Congenital Heart Disease - Selected Aspects. In Tech, ISBN 978-953-307-472-6, Rijeka, Croatia, 2011; 3-44.
  24. Mustafa KA, Tolga D, Cem C, Cenap Z. Bedside PDA ligation in premature infants less than 28 weeks and 1000 grams. J Cardiothorac Surg. 2016; 11: 146. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/27716331
  25. Lee LC, Tillett A, Tulloh R, Yates R, Kelsall W. Outcome following patent ductus arteriosus ligation in premature infants: a retrospective cohort analysis. BMC Pediatr. 2006; 6: 15. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/16689986
  26. El-Khuffash A, Weisz DE, McNamara PJ. Reflections of the changes in patent ductus arteriosus management during the last 10 years. Arch Dis Child Fetal Neonatal Ed. 2016; 101: F474-F478. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/27118761
  27. Gillam-Krakauer M, Cotton RB, Reese J. Patent ductus arteriosus. In: Feld LG, Mahan JD, Lorenz JM, Seigel WM, eds. Succinct Pediatrics: Evaluation and Management for Newborn, Genetic, Neurologic, and Developmental-Behavioral Disorders. Elk Grove Village, IL: American Academy of Pediatrics. 2017: 137-150.
  28. Herrman K, Bose C, Lewis K, Laughon M. Spontaneous closure of the patent ductus arteriosus in very low birth weight infants following discharge from the neonatal unit. Arch Dis Child Fetal Neonatal Ed. 2009; 94: 48-50. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/18450808
  29. Weber SC, Weiss K, Bührer C, Hansmann G, Koehne P, et al. Natural history of patent ductus arteriosus in very low birth weight infants after discharge. J Pediatr. 2015; 167: 1149-1151. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/26239928
  30. Oliver JM, Gallego P, Gonzalez AE, Sanchez-Recalde A, Bret M, et al. Pulmonary hypertension in young adults with repaired coarctation of the aorta: an unrecognised factor associated with premature mortality and heart failure. Int J Cardiol. 2014; 174: 324-329. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/24768463
  31. Rao PS. Diagnosis and management of acyanotic heart disease: Part II-Left-to-right shunt lesions. Indian J Pediatr. 2005: 72: 503-512. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/15985740
  32. Rao PS. Coarctation of the aorta. Curr Cardiol Rep. 2005; 7: 425-434. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/16256011
  33. Rao PS. Pulmonary valve disease. In Valvular Heart Disease. 3rd ed. Alpert JS, Dalen JE, Rahimtoola S. Eds. Lippincott Raven: Philadelphia, PA, USA, 2000; 339-376.
  34. Rachel DT, Michael JC, Gregory AF, Kevin DH. Coarctation of the aorta: Management from infancy to adulthood.World J Cardiol. 2015; 7: 765-775. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/26635924
  35. Nugent EW, Freedom RM, Nora JJ, Ellison RC, Rowe RD, et al. Clinical course of pulmonic stenosis. Circulation 1977; 56: I38-47. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/872344
  36. Rao PS. Pulmonary valve disease. In Valvular Heart Disease, 3rd ed.; Alpert JS, Dalen JE, Rahimtoola S, Eds. Lippincott Raven: Philadelphia, PA, USA, 2000; 339.
  37. Marco P, Trivedi DB, Denise K, Robert AA. Tetralogy of Fallot: what operation, at which age European Journal of Cardio-Thoracic Surgery 2000; 6: 631-636.
  38. Allen HD, Clark EB, Gutgessell HP, et al. editor. Moss and Adam's Heart Disease in Infants, Children and Adolescents. Philadelphia: Lippincott Williams and Wilkins. 2001: 880-902.
  39. Perry LW, Neill CA, Ferencz C, EUROCAT Working Party on. Congenital Heart Disease. Perspective in Pediatric Cardiology Epidemiology of congenital heart disease, the Baltimore-Washington Infant Study 1981-89. Armonk, NY: Futura; 1993; 33-62.
  40. Paula M, Eduardo C. Transposition of the great arteries. Orphanet J Rare Dis. 2008; 3: 27. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/18851735
  41. Duncan BW, Poirier NC, Mee RB, Drummond-Webb JJ, Qureshi A, et al. Selective timing for the arterial switch operation. Ann Thorac Surg. 2004; 77: 1691-1696. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/15111168

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