Structural heart disease in the newborn. Changing profile: comparison of 1975 with 1965.

Abstract

SUMMARYThe earlier detection and investigation of babies with congenital structural heart disease has resulted in earlier treatment and better management of these patients. In

Red cell transfusion management for patients undergoing cardiac surgery for congenital heart disease

“…Since this time, an improvement in diagnostic, interventional and surgical techniques has produced an overall dramatic decrease in mortality and morbidity rates (British Cardiac Society 2002). Between 1965 and1975 in Canada, survival rates in the first month after surgery rose from 37% to 70% (Izukawa 1979). Between 1999 and 2006 in the US, overall mortality from congenital heart disease fell by 24.1% (Gilboa 2010).…”

Holt‐Oram syndrome associated with the hypoplastic left heart syndrome

“…The hypoplastic left heart syndrome (HLHS) is itself a spectrum of congenital heart disorders characterized by marked underdevelopment of the structures of the left side of the heart (ascending aorta, aortic valve, ventricle, mitral valve and left atrium). It is relatively common and accounts for about 4% to 9% of congenital heart disease (Scott et al 1984, Fyler et al 1980, Izukawa et al 1979. Medical management has been generally unsuccessful and HLHS has been reported to cause 25% of cardiac deaths in the first week of life (Doty 1980).…”

Unmet need for pediatric cardiology services and correlates of referral in Ontario, 1975–1977

“…Prospects for survival of such newborns have increased dramatically over the past 20 years, with palliation or correction now possible for many conditions [5,13,16,19]. However, there are data to suggest that the sickness-care system does not operate with an equal efficiency for all newborns who are at risk.…”