The different techniques of extracorporeal circulation (ECC) currently employed for the surgical treatment of congenital heart diseases (CHD) in the neonatal period encompass the risk of brain damage. In order to reduce the damaging effects of cardiopulmonary bypass (low-flow perfusion or circulatory arrest technique), different modalities of neurological protection have been proposed. Thirty eight newborns with CHD underwent open-heart surgery in the first month of life at our institution. They were divided into 2 groups according to cardiopulmonary bypass perfusion technique: group A) full flow perfusion, group B) circulatory arrest and/or low-flow perfusion. Neuroprotection protocol was common to both groups. Our results show an increased incidence of early neurologic damage in patients of group B. However, the overall low incidence and the moderate degree of neurologic damage after surgery can be related to effective perioperative brain protection.
|Translated title of the contribution||Neurologic sequelae after open-heart surgery in the neonatal period|
|Number of pages||4|
|Journal||Rivista di Neurobiologia|
|Publication status||Published - 1997|
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