Department of Paediatric Cardiology

2002 2003 JanAug 04 Sept 04 Oct 04

Old cases New cases Sources of referral

6972
1945 579

7327
1970 621

5034
1382 511

881
171 62

863
158 58

Klang valley
Southern region Northern region East coast

441
363 324 221

383
427 286 216

327
172 210 118

36
13 33 19

38
19 29 13

East Malaysia
Others/Foreigners

27

35

40

Department of Paediatric Cardiology

2002 ASD AVSD VSD PDA PS AS Coarctation TOF PAIVS Arch anomalies Pulmonary venous drainage anomalies TGA (simple + complex) DORV Coronary anomalies Cardiomyopathy Single ventricle Rheumatic heart disease Arrhythmia Fistulae Lung pathology Others 235 46 401 300 105 19 26 189 25 18 17 86 6 19 14 36 76 48 4 9 40 2003 279 52 429 294 82 25 24 173 27 15 16 65 15 2 4 29 80 41 1 11 53 JanAug 04 215 44 315 189 67 15 13 101 16 12 18 49 6 22 7 27 81 38 2 3 38 Sept 04 Oct 04 21 4 38 32 3 0 2 14 2 4 1 10 1 3 0 3 8 4 0 1 7 25 4 36 0 6 0 1 12 2 0 3 6 3 2 2 1 2 2 0 1 4

Diagnostic

1992-1999

2000

2001

2002

2003 Jan-Aug 04

Sept 04

Oct 04

Total

Valvuloplasty pulmonary Aortic valvuloplasty Aortoplasty (coarctation) BAS (TGA) RF valvotomy PDA occlusion umbrella PDA occlusion coil PDA occlusion ADO ASD closure ASO Coronary fistula PDA stenting Pacemaker insertion RFA for arrhythmia PAVM VSD occlusion - PM transcatheter perventricular - Muscular - Small

40 23 57 188 40 285 712 218 175 39 16 0 0 0 0 0 0 0

34 3 0 31 10 0 106 131 49 4 4 14 9 0 0 0 0 0

51 5 9 32 14 0 92 149 79 2 7 8 18 2 0 0 5 0

43 10 12 41 14 0 90 123 90 6 47 5 10 0 0 0 2 0

45 5 17 30 13 0 82 145 67 8 42 5 13 3 0 0 0 0

15 1 8 22 6 0 57 83 76 2 15 4 8 0 14 4 0 5

0 0 0 4 0 0 5 17 5 0 0 0 2 0 4 0 0 0

0 0 0 5 1 0 6 12 4 0 1 0 0 0 2 0 0 2

594 47 103 353 98 285 1241 878 545 61 132 39 62 5

20 4 7 7

Cath lab procedures

70 60 50 40 30 20 10 0
Diagnostic Interventional

Jan Feb Mac April May Jun July Aug Sept Oct Nov Dec n=34 n=59 n=99 n=99 n=58 n=97 n=90 n=104 n=84 n=81 n=0

PICU bed days

Type of op July - Sept Oct Total days Total patients Mean stay (days) 2 1.2 1.3 3.3 10 5.9 2.3 2.3

VSD
ASD PDA TOF Arterial switch PA banding Glenn BT shunt

48
19 8 25

15
2 1 8

128
26 12 108

63
21 9 33

11
7 5 25

6
1 3 6

170
47 18 83

17
8 8 36

PICU bed days

Type of op AVSD TAPVD Rastelli VSD with MVR Coarctation/ interrupted IAA & VSD Mitral valve repair 2 0 0 2 23 3 2 2 11.5 1.5 July - Sept Oct Total days Total patients Mean stay

1
5 3 1 1

3
1 2 1 1

53
51 45 10 10

4
6 5 3 3

13.25
8.5 9 3.3 3.3

Truncus, ALCAPA, Pericardial drainage, RVOT reconstruction & TV repair, Ligation of LSVC, Aortic aneurysm repair, Wound debridement 1 patient each

Mortality
September : n = 3 1 yr, Ebsteins anomaly, PS, VSD S/P PDA stenting 1 mth, TGA, S/P BAS and arterial switch 3 mths, Situs solitus, dextrocardia, tricuspid atresia, pulmonary atresia, disconnected pulmonary arteries, PDA October : n = 2 3 mths, Vascular ring, small PDA, mild AS, small PM VSD, Corndia de Lange 18 days, PAVSD with multiple small aortopulmonary collaterals