title: [Post-surgical morbidity in paediatric patients undergoing surgery for congenital heart disease in the UMAE of Yucatan, Mexico].
abstract: OBJECTIVE
  To describe the clinical course of paediatric patients undergoing surgery for congenital heart disease in UMAE of Yucatan.
  
  
  METHODS
  Descriptive review was performed on the records of paediatric patients undergoing surgery for congenital heart disease from 1 November 2011 to 30 November 2013.
  
  
  RESULTS
  The most frequent heart diseases were persistent ductus arteriosus (37.6%) and transposition of the great vessels. The median intensive care stay was 3 days. Mortality was 11.76%, with septic shock (44.4%) in most cases. The most frequent complications were sepsis (5.9%), low cardiac output syndrome (4.7%), cardiac arrest, and AV block and ventricular tachycardia (2.4% each). There was a moderate positive correlation between surgical complications and survival or death.
  
  
  CONCLUSIONS
  The number of surgical patients is lower compared to reference centres for cardiovascular surgery. There is a marked tendency to perform corrective and palliative surgeries in specific disease in patients with added risk or 'bad' cardiac anatomy that prevent full correction at the first attempt. Prospective epidemiological and clinical studies should be conducted to understand the behaviour of congenital heart diseases treated in the region.
authors.affiliation: Unidad Médica de Alta Especialidad, Servicio de Pediatría (Cardiología Pediátrica), División de Pediatría, Hospital de Especialidades CMN «Ignacio García Téllez», Mérida, Yucatán, México. Electronic address: addycastillo2@gmail.com.
authors.forename: Addy
authors.initials: A
authors.lastname: Castillo-Espínola
authors.affiliation: Unidad Médica de Alta Especialidad, Servicio de Pediatría (Cardiología Pediátrica), División de Pediatría, Hospital de Especialidades CMN «Ignacio García Téllez», Mérida, Yucatán, México.
authors.forename: Ana
authors.initials: A
authors.lastname: Velázquez-Ibarra
authors.affiliation: Unidad Médica de Alta Especialidad, Servicio de Pediatría (Cardiología Pediátrica), División de Pediatría, Hospital de Especialidades CMN «Ignacio García Téllez», Mérida, Yucatán, México.
authors.forename: Aurea
authors.initials: A
authors.lastname: Zetina-Solórzano
authors.affiliation: Unidad Médica de Alta Especialidad, Servicio de Pediatría (Cardiología Pediátrica), División de Pediatría, Hospital de Especialidades CMN «Ignacio García Téllez», Mérida, Yucatán, México.
authors.forename: Patricia
authors.initials: P
authors.lastname: Bolado-García
authors.affiliation: Unidad Médica de Alta Especialidad, Servicio de Pediatría (Cardiología Pediátrica), División de Pediatría, Hospital de Especialidades CMN «Ignacio García Téllez», Mérida, Yucatán, México.
authors.forename: Gonzalo
authors.initials: G
authors.lastname: Gamboa-López
mesh_terms: D002648:Child; D002675:Child, Preschool; D005260:Female; D006330:Heart Defects, Congenital / Q000601:surgery*; D006331:Heart Diseases / Q000151:congenital* / Q000601:surgery*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D008800:Mexico; D009017:Morbidity; D011183:Postoperative Complications / Q000453:epidemiology*
keywords: Arritmias cardíacas; Cardiac arrhythmias; Cardiopatías congénitas; Congenital heart disease; Low cardiac output; Mexico; México; Periodo posoperatorio; Post-operative period; Sepsis; Síndrome de bajo gasto