Cardiac Surgery in Cleft Lip and Cleft Palate Children: Srinagarind Hospital Experience
Sompop Prathanee MD*, Cherdchai Tontrisirin MD*, Manas Panamontha MD**
Affiliation : * Department of Surgery, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand ** Department of Pediatric, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand
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
