OUTCOMES OF VSD REPAIR ON PATIENTS WEIGHT LESS THAN 5 KG

Abstract

: Background: Congenital heart disease (CHD) is a range of structural anomalies of the heart, which affect around 1% of births. Individuals with CHD often require complex life ‐ saving surgeries in infancy and lifetime follow ‐ up. Very few studies have been focused on the relationship between the weight at repair and early and late outcomes. Most surgeons would prefer to correct the VSD before 6 months of age, however medical therapy is generally used in neonates, low weight young infants, and low birth-weight babies primarily because of technical concerns about the fragility of the common atrioventricular valve (CAVV) tissue. Aim of the Work: to evaluate the impact of weight less than 5 kg at operation on mortality and morbidity in patients with ventricular septal defect undergoing surgical closure. We conducted a systematic review and meta-analysis of 5 studies including neonates with weight at surgery less than 5 kilograms.