title: [Results of treatment of cyanotic heart defects in children].
abstract: Cyanotic heart diseases are relatively rare, but they are severe and heterogeneous congenital heart diseases, which require complex surgery. Development of different advanced surgical procedures, such as arterial switch operation (ASO), Fontan and its modifications, Norwood etc. operations, as well as better perioperative care significantly improved survival rate and quality of life of these children. The study group included 308 children treated for cyanotic heart disease in Yugoslavia, in the period January 2000 to July 2004. Some of them (239, 77.6%) were treated at the University Children's Hospital in Belgrade, and others (69, 22.4%) in different institutions abroad. The age of the operated patients varied between 1 day and 19 years (median 12 months). The patients (pts) were divided into four groups, according to the disease and type of the operation. In the whole group of 308 patients treated due to cyanotic heart disease, there were 232 (75.3%) cases with open heart surgery and 76 (24.7%) with closed procedures. The mortality rate was significantly different between disease/operation groups, and age groups. Average mortality rates differed from 11.8% for palliative procedures to 12.5% for complete corrections. Mortality rate and achieved surgical results in treatment of children with cyanotic heart diseases were significantly worse than those published by leading cardiac surgery centers in the world. However, there is a clear tendency in introducing new surgical procedures, lowering the age at which the operation is done and decreasing the mortality rates.
authors.forename: Ida
authors.initials: I
authors.lastname: Jovanović
authors.forename: Vojislav
authors.initials: V
authors.lastname: Parezanović
authors.forename: Slobodan
authors.initials: S
authors.lastname: Ilić
authors.forename: Djordje
authors.initials: D
authors.lastname: Hercog
authors.forename: Milan
authors.initials: M
authors.lastname: Vucićević
authors.forename: Milan
authors.initials: M
authors.lastname: Djukić
authors.forename: Irena
authors.initials: I
authors.lastname: Vulićevuć
authors.forename: Zoran
authors.initials: Z
authors.lastname: Brajković
authors.forename: Goran
authors.initials: G
authors.lastname: Vukomanović
authors.forename: Tamara
authors.initials: T
authors.lastname: Ilisić
authors.forename: Branko
authors.initials: B
authors.lastname: Mimić
authors.forename: Zeljka
authors.initials: Z
authors.lastname: Milincić
authors.forename: Slavko
authors.initials: S
authors.lastname: Simeunović
mesh_terms: D000293:Adolescent; D000328:Adult; D006348:Cardiac Surgical Procedures / Q000401:mortality / Q000706:statistics & numerical data; D002648:Child; D002675:Child, Preschool; D006330:Heart Defects, Congenital / Q000401:mortality / Q000601:surgery*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D015996:Survival Rate