NGHIÊN CỨU MÔ HÌNH BỆNH TIM BẨM SINH TẠI KHOA PHẪU THUẬT TIM TRẺ EM, BỆNH VIỆN CHỢ RẪY

Abstract

Objectives: This study aimed to investigate the pattern of congenital heart disease (CHD) cases managed at the Pediatric Cardiac Surgery Intensive Care Unit (PCS-ICU) of Cho Ray Hospital from March 2017 to November 2025. Methods: A retrospective, descriptive, cross-sectional study design was employed, analyzing all pediatric patients with CHD admitted to the PCS-ICU at Cho Ray Hospital during the specified period (March 2017 to November 2025). Data regarding patient information and treatment outcomes were collected and subjected to statistical analysis. Results: This retrospective study included 2,323 pediatric patients with congenital heart disease treated at Cho Ray Hospital between March 2017 and November 2025. Simple congenital heart defects accounted for the majority, including ventricular septal defect (24.1%), atrial septal defect (15.5%), and patent ductus arteriosus (2.2%). Complex congenital heart diseases included tetralogy of Fallot (12.8%), pulmonary atresia (7.5%), atrioventricular septal defect (6.8%), single ventricle (5.2%), and right ventricular outflow tract obstruction (5.1%). Surgery was the primary treatment modality, performed in 59% of patients. The mean operative time was 261.8 minutes, with a mean cardiopulmonary bypass time of 132.1 minutes and a mean aortic cross-clamp time of 80.7 minutes. Good outcomes were achieved in 89% of patients, with an overall mortality rate of 2%.Top of FormBottom of Form Conclusion: The study demonstrated that simple congenital heart defects predominated, most commonly ventricular septal defect (24.1%) and atrial septal defect (15.5%). Among complex congenital heart diseases, tetralogy of Fallot (12.8%), pulmonary atresia (7.5%), and atrioventricular septal defect (6.8%) were frequently observed. Surgical intervention was performed in 59% of patients. Overall, 89% achieved good outcomes, with a mortality rate of 2%, indicating favorable treatment effectiveness. These results reflect the benefits of a comprehensive care model, encompassing preoperative management, surgery, postoperative intensive care, and follow-up, and underscore the importance of early diagnosis and timely referral in improving patient prognosis