Cardiac Surgery in Cleft Lip and Cleft Palate Children: Srinagarind Hospital Experience.

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.