Hypoplastic Left Heart Syndrome

Five-year Analysis of Operative Mortality and Neonatal Outcomes in Congenital Heart Disease

“…Mortality rates have decreased overall; however, mortality associated with some complex defects remains high [1]. Surgical outcomes are influenced at many stages of care and depend not only on surgical performance but also on other factors such as the quality of perioperative intensive care and patient-specific characteristics affecting baseline risk, including organ immaturity [2,3]. Reporting of institutional mortality rates is important to benchmark current outcomes against other published reports, to identify service development priorities and to inform parents and patients.…”

“…More complex lesions combined with immature organ systems may contribute to early and late complications including neuro-developmental impairment [2,3]. Prematurity and co-morbidities including infection and non-cardiac structural abnormalities are common in 'complex' neonates, typified by one patient in the complex transposition group who had Taussig-Bing anomaly, IVC interruption with azygous continuation, duodenal atresia, a gestational age of 35 weeks and a birth weight of 2.6 kg.…”