Article (Scientific journals)
Long-term behavior and quality of life after corrective cardiac surgery in infancy for tetralogy of Fallot or ventricular septal defect.
Hovels-Gurich, H. H.; Konrad, K.; Skorzenski, D. et al.
2007In Pediatric Cardiology, 28 (5), p. 346-354
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Keywords :
Cardiac Surgical Procedures; Child; Child Behavior; Child Behavior Disorders/epidemiology; Follow-Up Studies; Heart Septal Defects, Ventricular/surgery; Humans; Intelligence; Motor Skills; Neuropsychological Tests; Quality of Life; Risk Factors; Self Concept; Social Adjustment; Tetralogy of Fallot/surgery
Abstract :
[en] The objective of this study was to evaluate behavior and quality of life in children after corrective cardiac surgery in infancy. Twenty cyanotic (tetralogy of Fallot) and 20 acyanotic children (ventricular septal defect), operated at a mean age of 0.7 years with deep hypothermic circulatory arrest (DHCA) and low-flow cardiopulmonary bypass (CPB), were assessed at a mean age of 7.4 years by the Child Behavior Checklist (CBCL) and the German KINDL. Test results were related to perioperative and neurodevelopmental outcome. Compared to healthy children and not significantly different between the groups, internalizing and externalizing problems were elevated, school performance and total competence were reduced, and self- and parent-reported quality of life was not reduced. Parent-reported problems and reduced physical status were correlated with longer durations of DHCA and CPB. Internalizing and externalizing problems, reduced school competence, and reduced self-esteem were associated with reduced endurance capacity. Externalizing problems were related to reduced gross motor function. Poor school competence was related to reduced intelligence and academic achievement. Children with preoperative hypoxemia in infancy due to cyanotic cardiac defects are not at significantly higher risk for behavioral problems and reduced quality of life than those with acyanotic heart defects. The risk of long-term psychosocial maladjustment after corrective surgery in infancy is increased compared to that for normal children and related to the presence of neurodevelopmental dysfunction.
Disciplines :
Pediatrics
Author, co-author :
Hovels-Gurich, H. H.;  Rheinisch - Westfälische Technische Hochschule Aachen - RWTH > Pediatric Cardiology
Konrad, K.;  Rheinisch - Westfälische Technische Hochschule Aachen - RWTH > Child and Adolescent Psychiatry
Skorzenski, D.;  Rheinisch - Westfälische Technische Hochschule Aachen - RWTH > Pediatric Cardiology
Minkenberg, R.;  Institute for Medical Statistics 'Input'
Herpertz-Dahlmann, B.;  Rheinisch - Westfälische Technische Hochschule Aachen - RWTH > Child and Adolescent Psychiatry
Messmer, B. J.;  Rheinisch - Westfälische Technische Hochschule Aachen - RWTH > Thoracic and Cardiovascular Surgery
SEGHAYE, Marie-Christine ;  Rheinisch - Westfälische Technische Hochschule Aachen - RWTH > Pediatric Cardiology
Language :
English
Title :
Long-term behavior and quality of life after corrective cardiac surgery in infancy for tetralogy of Fallot or ventricular septal defect.
Publication date :
September 2007
Journal title :
Pediatric Cardiology
ISSN :
0172-0643
eISSN :
1432-1971
Publisher :
Springer Verlag, New York, United States - New York
Volume :
28
Issue :
5
Pages :
346-354
Peer reviewed :
Peer Reviewed verified by ORBi
Commentary :
Epub 2007 Jul 12
Available on ORBi :
since 09 June 2011

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