1130 Evaluation of the Neonates with Cyanotic Congenital Heart Defects Hospitalized in a NICU at Six Years Period

Severe congenital heart defects might be symptom free in first days of life. Therefore only half of the congenital heart defects were diagnosed in neonatal period. In six years period, 86 neonates with the diagnosis of cyanotic congenital heart defects out of 3672 neonates hospitalized in our unit were evaluated. Neonates with the diagnosis of Down syndrome, trisomies and major congenital defects other than heart were excluded from the evaluation. Mean gestational weeks and birth weights of the neonates were 39, 3 (35–40) week and 3128 (1770–4470) gr respectively. The most common pathology of the heart defects was transposition of great arteries (TGA) in 31 neonates (%36) and the second common pathology was pulmonary atresia in 17 neonates (%19, 8). Four of the 31 neonates with TGA had arteriel switch operation and four of them had septostomy procedure, while 23 did not need any invasive procedure. Fourteen of 17 neonates with pulmonary atresia had central or peripheral shunt operations. 51, 2% of the neonates were discharged while 12.8% of them were discharged due to request of the family. Three of the neonates who had arteriel switch operation and 11 neonates who had shunt operation were discharged. Early recognition of infants with congenital heart disease that has high mortality and morbidity in neonatal period and implementation of early intervention in patients with ductus-dependent heart defects was considered to have a positive effect on prognosis.