EVALUATION OF THE SURGICAL OUTCOME OF THE CONGENITAL HEART DISEASE PATIENTS IN SHAHID RAJAI HOSPITAL: A TEN YEARS SURVEY

Progress in application of cardiopulmonary bypass(CPB) give rises to significant decrease in morbidity and mortality, Although research in this subject in our conutry is restricted. We attemped to conform a survey in one of the important hospital for heart surgery. This survey will tend to overview the outcome of common procedures accomplished in this regard. In this survey which performed descriptive retrospectively for 7900 total operations, 1500 surgical operations randomly were selected. Information related to kinds of surgical operation and death were presented thereafter. Sample collection was randomly selected and spectrom of patients was from birthday to 18 years old. There was not sex prodominancy. CPB was applied for 60% of patients. The frequency of operations included PDA (D&L) 22%, total correction for TF 16.5%, systemic to pulmonary shunt 12.5%, ASD & VSD closure each 8%. Total mortality rate was 5.9%. Analysis of operated population showed that outcome of patients were improved 2-3 times in recent years. Since 1993 until now this achievement was more accelerated. After operation for complex cyanotic heart diseases, we concluded mortality and morbidity of patients were decreased prominantly due to better care of them in pediatric ICU, more experience and better equipments.