Primary causes of in-Hospital Mortality in Pediatric Cardiac Surgery Population

Objective: To present primary causes of in-hospital mortality in large surgical population who underwent surgical correction for CHDs for the period of a decade at our institute. Methods: Retrospective analysis of pediatric cardiac surgery database along with decision of morbidity and mortality meeting at Department of Cardiac Surgery at CPE Institute of Cardiology from January 2009 to April 2021. Results: An overall 3705 patient underwent surgery for CHDs. The in-hospital mortality for CHDs surgery is 2.37% with RV dysfunction, Residual cardiac defect with valve dysfunction (TR/PR), pulmonary hypertensive complication, mediastinal bleeding, cardiac tamponade, respiratory complication, MODs, heart block as major primary cause of in-hospital mortality with frequency of 15.91%, 18.18%, 18.18%, 18.18%, 9.09%,10.23%, 4.54% and 4.54% respectively. Conclusion: in our population of 3705 congenital cardiac surgery patients, incidence of overall in-hospital mortality is promising for wide range of CHDs. RV dysfunction, residual RV defects with vale regurgitation, pulmonary hypertension, bleeding complications and respiratory failure are major primary causes of in-hospital mortality.