[Results of surgical treatment of 1,387 XXXX under 6 months of age with @entity299 ].

@entity1 @entity6207 @entity3886 @entity215 @entity120 @entity1757 @entity3880 @entity9931 @entity1498 @entity338 @entity997 @entity299 @entity1146 @entity4297
OBJECTIVE: To summarize and review the result of surgical repair of @entity299 in @entity1 under 6 months of age. METHODS: Between January 1997 and December 2007, 1387 @entity1 under 6 months of age with @entity299 were operated on. There were 675 cases with @entity1757 with @entity120 ( @entity1757 /PH), 138 with @entity3886 (TGA), 155 with @entity215 ( @entity215 ), 111 with totally abnormal pulmonary venous connection (TAPVC), 54 with @entity1498 of aorta or interrupted aortic arch with @entity1757 [ @entity9931 ( @entity6207 )/ @entity1757 ], 46 with double outlet right ventricle (DORV), 25 with @entity1146 with @entity1757 (PA/ @entity1757 ), 24 with @entity1146 with intact interventricular septum (PA/IVS) and so on. The operative procedure was dependent on different diseases. Follow-up has been conducted in @entity1 with some complex congenital @entity299 . RESULTS: In the recent 11 years, the number of surgical repair in @entity1 under 6 months of age, including neonates, with @entity299 has been increased. In contrast to the early phase when @entity1757 was the major disease treated with surgery, @entity1 with complex @entity299 account for half of all cases treated with surgery now. In the meantime, the surgical mortality has been decreased year after year. There were 110 deaths in our group and the total mortality was 7.9% (110/1387). With improvement of surgical procedure, the mortality was decreased from 11.5% - 14.4% in 1997 - 2003 to 8.6% - 8.9% in 2004 - 2005 to 3.3% - 3.8% in 2006 - 2007. Follow-up data were available for 98 @entity1 in TGA (83.8%, 98/117), 79 in TAPVC (87.8%, 79/90), 68 in @entity215 (48.2%, 68/141), 13 in PA/ @entity1757 (65%, 13/20) and 19 in @entity3880 /IVS (95%, 19/20). The duration of follow-up ranged from 3 to 86 months. There were 16 late deaths, 4 in TGA, 10 in TAPVC and 2 in PA/ @entity1757 @entity1 . The majority were asymptomatic on follow-up. Mild residual obstruction was seen in 4 cases with TAPVC. @entity120 was seen in 5 cases with TAPVC. Mild @entity338 , @entity338 and @entity997 were seen in 23 cases with TGA (23.5%, 23/98). Some PA/ @entity1757 @entity1 had second operation. CONCLUSIONS: Most symptomatic neonates and @entity1 younger than 6 months with critical @entity4297 can undergo corrective operation under acceptable risk. Due to improvements in perioperative, anaesthetic, surgical, and postoperative care, contemporary hospital mortality can be reduced to 3.3% - 3.8%. Palliative procedures still play an important role in the staged treatment of severe complex @entity299 in neonates and @entity1 younger than 6 months of age.
