title: [Congenital heart disease: surgical results in a public hospital in Argentina].
abstract: OBJECTIVE
  To describe the results of congenital heart surgery at the Hospital de Pediatría J. P.Garrahan.
  
  
  METHODS
  Between 2004 and 2009, 2942 patients, median age 2.5 years (1 d to 22.5 y), median weight 11.5 kg (1.6 kg to 96 kg), and 84% with cardiopulmonary bypass, were analyzed. Adjusted mortality risk analysis using RACHS and Aristotle score was performed. Newborn surgery and one stage repair in Fallot and ventricular septal defect with coarctation were analyzed as subgroupes.
  
  
  RESULTS
  Mortality was 5.5%. Required mechanical ventilation 45%, 5% peritoneal dialysis, 12% delayed sternal closure and 8.4% reoperation. Twenty five percent with previous surgery, and 10% in poor clinical conditions. RACHS-1 categories morality distribution were 0.4% in one, 2.4% in two, 7.1% in three, 14% in four y 34 % in 5 and 6. One stage repair was performed in 84% of Fallots and 90% of ventricular septal defects with coarctation, with 3.2% and 10% mortality rate respectively. Two hundred and five newborns were operated with cardiopulmonary bypass with a mortality rate of 15% in the last year.
  
  
  CONCLUSIONS
  Almost every congenital heart disease can be repaired without previous palliation, with satisfactory results in our institution. Poor clinical conditions significantly increased morbidity and mortality.
authors.affiliation: Unidad de Recuperación Cardiovascular.
authors.forename: Ricardo H
authors.initials: RH
authors.lastname: Magliola
authors.forename: María
authors.initials: M
authors.lastname: Althabe
authors.forename: Guillermo
authors.initials: G
authors.lastname: Moreno
authors.forename: Ana M
authors.initials: AM
authors.lastname: Lenz
authors.forename: María L
authors.initials: ML
authors.lastname: Pilán
authors.forename: María
authors.initials: M
authors.lastname: Balestrini
authors.forename: Alberto
authors.initials: A
authors.lastname: Charroqui
authors.forename: Luis M
authors.initials: LM
authors.lastname: Landry
authors.forename: Mariela
authors.initials: M
authors.lastname: Krynski
authors.forename: Gladys
authors.initials: G
authors.lastname: Salgado
authors.forename: Analía
authors.initials: A
authors.lastname: Martín
authors.forename: Jorge
authors.initials: J
authors.lastname: Barretta
authors.forename: Pablo
authors.initials: P
authors.lastname: García Delucis
authors.forename: Javier
authors.initials: J
authors.lastname: Cornelis
authors.forename: José
authors.initials: J
authors.lastname: Suarez
authors.forename: Juan P
authors.initials: JP
authors.lastname: Laura
mesh_terms: D000293:Adolescent; D001118:Argentina; D002648:Child; D002675:Child, Preschool; D006330:Heart Defects, Congenital / Q000601:surgery*; D006779:Hospitals, Public; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D016896:Treatment Outcome; D055815:Young Adult