Hospital banned from doing neonatal heart operations

BMJ 1995; 310 doi: https://doi.org/10.1136/bmj.310.6988.1195b (Published 06 May 1995) Cite this as: BMJ 1995;310:1195
  1. H S Joffe
  1. Consultant paediatric cardiologist Royal Hospital for Sick Children, Bristol BS2 8BJ

    EDITOR,—In the wake of recent press and television coverage of paediatric cardiac surgery at the Bristol Royal Infirmary and the news report by Owen Dyer,1 which perpetuates misrepresentations of fact, I wish to clarify the situation.

    Concerns were raised in some quarters during 1990-2 about the work of the unit; these concerns related to the results of operations for ventricular septal defect, tetralogy, and atrioventricular septal defects and, more recently, the arterial switch operation for patients with transposition of the great arteries. The switch operation was introduced in 1988 for infants and children with transposition of the great arteries plus ventricular sepal defect and related conditions, and the mortality (20% in 1990-4) has been accepted by all members of the unit as being on a par with mortality reported by other units to the United …

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