1976
DOI: 10.1055/s-0028-1095948 View full text |Buy / Rent full text
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Abstract: A total of 47 infants (2,7 to 9,6 kg in weight, 3 days to 21 months of age, 89% under one year) underwent early total correction of severe congenital heart defects in profound hypothermia of about 22degreesC and circulatory arrest (11 to 64 minutes). 8 patients were operated upon without extracorporeal circulation (ECC) (mortality 63%). 37 infants were additionally cooled and rewarmed with ECC (mortality 22%). The most common diagnosis were: Total atrioventricular canal (11), aortic stenosis with and without c… Show more

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“…The present study confirms the results of others that profound hypothermia and circulatory arrest is a valuable method in correction of congenital cardiac defects in small infants (1,3,10,14,18,19,23,24) According to our results and the experience of others the safe limit of circulatory arrest time at a core temperature of 20°C is 60 min. (15, 19.…”
Section: Discussionsupporting
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“…The present study confirms the results of others that profound hypothermia and circulatory arrest is a valuable method in correction of congenital cardiac defects in small infants (1,3,10,14,18,19,23,24) According to our results and the experience of others the safe limit of circulatory arrest time at a core temperature of 20°C is 60 min. (15, 19.…”
Section: Discussionsupporting
“…In trying to overcome the disadvantages of this method numerous modifications of the original technique (9,11) were developed during the last decade. (1,3,4,5,10,12,14,15,18,19,21,23,24). Today two alternative ways of lowering body temperature to provide an adequate period of circulatory arrest are used.…”
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