Table 2

Indication for surgery in relation to preoperative invasive study and age at surgery

PH Qp:Qs
> 2
PH without information on Qp:Qs PH Qp:Qs = 1.5–1.99 Borderline case of PH Qp:Qs > 2 without PH2-151 Qp:Qs = 1.5–1.99 without PH2-152 AR without PH or information about Qp:Qs2-153 CHF and restrictive VSD Misc2-154 Total
Number of children
1976–9076451202101110
1991–96242-165 362-165 2142-160 32302-165 9122-160 8167
Total10040715523210129277
Invasive studies
1976–9076451202001109
1991-962422-165 202-165 52-165 72-150 102432-165
Total100671259103152
Median age at surgery
1976–9011.4 months1 year1.1 years1.1 years4.1 years9.4 years6.1 years4.4 years1.1 years
1991–961.4 years3.5 months1.2 years6.6 months4.2 years6.5 years4.2 years7.2 months2.1 years1.6 years
Total11.6 months3.7 months1.1 years6.8 months4.2 years6.5 years5 years7.2 months2.2 years1.3 years
  • 2-150 p < 0.05;

  • 2-160 p < 0.01;

  • 2-165 p < 0.001.

  • 2-151 15 borderline PH, 6 no relevant information about PH.

  • 2-152 5 borderline PH, 6 no relevant information about PH.

  • 2-153 2 borderline PH, 1 no relevant information about PH.

  • 2-154 Closed during primary surgery for mitral regurgitation (1); preoperative diagnosis was sinus valsalvae aneurysm with Qp:Qs = 1.8, aortic regurgitation and no PH (1); perimembranous VSD with a large estimated shunt (1); perimembranous VSD with persistent ductus arteriosus and mitral regurgitation (1); restrictive VSD (4), of which 1 affected the aortic cusp, 1 tissue tag in left ventricular outflow tract, 1 perimembranous with extension to the outflow tract, and 1 without signs of closure where the right chamber pressure was first measured to 4 mm Hg; immigrant child with previous PH.

  • Time periods were chosen because of availability of colour Doppler after 1991.

  • PH, pulmonary hypertension; AR, aortic regurgitation; CHF, congestive heart failure; VSD, ventricular septal defect.