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- W3135352615 abstract "Aims & Objectives: Describe the evolution of a congenital heart surgery program in a low-income country and its outcomes. Methods: An internal database review of the intensive care unit of Benjamin Bloom Children’s Hospital was performed. The study is descriptive. A sample of all patients who underwent congenital heart disease was taken from 2017 to December 2019 (n = 424). Results: It was found that 56% of patients are under 2 years of age. The heart defects most frequently operated were Ventricular Septum Defects (VSD) 17%, Arterial Duct Persistence (PDA) 15%, Atrial Septum Defects (ASD) 14% and Fallot Tetralogy (TOF) 15%. With the RACHS surgical risk stratification, surgeries classified with RACHS 2 predominate (40%). The overall mortality was 12.7% (n = 54), the main cause of death being post-surgical heart failure (39%). For specific pathology mortality, a higher incidence was observed in pulmonary venous connection (total or partial) with 57% (n = 28) of mortality, followed by transposition of the great arteries with 45% (n = 11) of mortality.Conclusions: There have been 424 surgeries in 3 years of full operation. The distribution by complexity of surgical procedures is homogeneous among RACHS categories, complex surgeries are not routinely performed.The general mortality is high, as well as the specific mortality of the described pathologies is considerably higher than that described in the literature. An analysis of post surgical complications is necessary. This study important because of the first effort of its kind in our center, and we hope it will serve as a basis for further studies." @default.
- W3135352615 created "2021-03-15" @default.
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- W3135352615 date "2021-03-01" @default.
- W3135352615 modified "2023-09-27" @default.
- W3135352615 title "P0330 / #734: CONGENITAL CARDIAC SURGERY PROGRAM IN A LOW INCOME AND POST WAR SETTING: A 3 YEARS EXPERIENCE IN EL SALVADOR" @default.
- W3135352615 doi "https://doi.org/10.1097/01.pcc.0000739660.48973.da" @default.
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