title: Seven years' experience of pediatric cardiopulmonary bypass: 8685 cases in Shanghai Children's Medical Center.
abstract: Herein we report our 7-year-experience of cardiopulmonary bypass. Between April 1, 1999, and December 31, 2005, 8685 children with congenital heart disease underwent cardiopulmonary bypass in Shanghai Children's Medical Center. The number of cases increased every year, and the number of patients younger than 1 year or weighing <10 kg also increased. Different bypass technology was adapted according to the operation. Roller pumps were used for most of the patients. Crystal cardioplegia (St. Thomas II) was used until blood cardioplegia was introduced in 2003. Ultrafiltrators were set up for infants weighing <10 kg. Mortality rates per year ranged from 1.81% to 3.70%. The most frequent complication was low cardiac output, about 12% in recent years. Arrhythmia, infection, and lung complications were the next three most frequent problems after surgery.
authors.affiliation: Department of Pediatric Thoracic and Cardiovascular Surgery, Shanghai Children's Medical Center, Shanghai Jiao Tong University, School of Medicine, Shanghai, People's Republic of China.
authors.forename: De-ming
authors.initials: DM
authors.lastname: Zhu
authors.forename: Wei
authors.initials: W
authors.lastname: Wang
authors.forename: Zhi-wei
authors.initials: ZW
authors.lastname: Xu
authors.forename: Jin-fen
authors.initials: JF
authors.lastname: Liu
authors.forename: Ling
authors.initials: L
authors.lastname: Chen
authors.forename: Zhen-ying
authors.initials: ZY
authors.lastname: Shi
authors.forename: Zhao-kang
authors.initials: ZK
authors.lastname: Su
authors.forename: Wen-xiang
authors.initials: WX
authors.lastname: Ding
mesh_terms: D002315:Cardiopulmonary Bypass / Q000009:adverse effects / Q000706:statistics & numerical data*; D002681:China; D006330:Heart Defects, Congenital / Q000601:surgery*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn