Boston - American Association for Thoracic Surgery

89 TH ANNUAL MEETING MAY 9–MAY 13, 2009BOSTON, MASSACHUSETTSwith TGA had significantly higher scores for cognition, fine motor skills, executivefunction, and math skills. Compared to HLHS patients with TOF had higherscores for cognition and executive function. There were no significant differencesbetween HLHS and VSD patients for any domain. Significant impairments in atleast 1 domain were identified in 8% (2/25) of patients with VSD, 20% (8/41) withTOF, 17% (7/41) with TGA and 18% (12/65) with HLHS. After correction for demographic,pre-operative, and operative variables; there were no significant differencesamong groups for any domain.CONCLUSION: Mean scores for ND outcomes are in the normal range for preschoolchildren with no recognized genetic syndromes after surgery for VSD, TOF,TGA, and HLHS. ND outcomes for HLHS are comparable to VSD, TOF and TGAin most domains. The number of children with impairments in at least 1 domain isincreased compared to the general population for all groups. Differences do existamong diagnoses for unadjusted outcomes for some domains. However, because ofthe correlation of diagnosis with factors such as age at surgery, LOS, DHCA, andmultiple operations; it is not possible to determine if cardiac diagnosis is causal inits prediction of outcomes or related secondary to these variables.110