J Med Assoc Thai 2015; 98 (8):115

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Cardiac Surgery in Cleft Lip and Cleft Palate Children: Srinagarind Hospital Experience
Prathanee S Mail, Tontrisirin C , Panamontha M

Background: Congenital heart disease is one of the common incidents associated with craniofacial anomalies.
Objective: To date, there are no published studies from Thailand on review experience regarding operation of congenital
heart disease in cleft lip/cleft palate patients. This study aims to report the patterns of our practices in those patients.
Material and Method: A hospital-based, descriptive study during 1996-2013 in congenital heart disease associated with cleft lip/cleft palate in Srinagarind Hospital, Faculty of Medicine, Khon Kaen University, Khon Kaen Province, Thailand.
Results: During the period of study there were 2,600 cases of cleft lip/cleft palate. Congenital heart disease was found in 60
patients (2.3%). Only 11 patients had heart surgery performed, 7 patients were operated on by open heart surgery, 2 PDA
(Patent Ductus Arteriosus) ligation and 2 Blalock-Tausig shunts. The most common perioperative complication was aspirated pneumonia. No 30-day mortality occurred.
Conclusion: Congenital heart disease in cleft lip and cleft palate patients is not uncommon. A multidisciplinary team approach is the key to success in management. Heart operation can be performed at anytime if clinically indicated.

Keywords: Congenital heart disease, Cleft lip and cleft palate, Hospital mortality


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