Neuropsychomotor development before and after open-heart surgery in infants.
There are few Brazilian studies on neuropsychomotor follow-up after open-heart surgery with circulatory bypass in infants. Twenty infants had neurodevelopmental outcomes (neurological exam and Denver II test) assessed before open-heart surgery, after intensive care unit discharge and 3-6 months after hospital discharge. Heart lesions consisted of septal defects in 11 cases (55%). The mean circulatory bypass time was 67 +/- 23.6 minutes. Fifteen infants had altered neurological examination and also neurodevelopment delay before surgery. After 6 months it was observed normalization in 6 infants. When Denver II test indexes were analysed, it was observed an improvement in all domains except personal-social. Although those infants were in risk of new neurological findings, an early improvement on neuropsychomotor indexes were seen.
Rocha
Taís Sica da
TS
Hospital da Criança Santo Antônio, Complexo Hospitalar Santa Casa de Porto Alegre, Porto Alegre, RS, Brazil. darochats@hotmail.com
Guardiola
Ana
A
Piva
Jefferson Pedro
JP
Ricachinevski
Cláudia Pires
CP
Nogueira
Aldemir
A
D002657:Child Development / Q000502:physiology*; D015331:Cohort Studies; D006330:Heart Defects, Congenital / Q000601:surgery*; D006801:Humans; D007223:Infant; D009460:Neurologic Examination; D009483:Neuropsychological Tests; D011446:Prospective Studies; D011597:Psychomotor Performance / Q000502:physiology*