GENERAL DEVELOPMENT COMPARISON BETWEEN CHILDREN UNDER HEART TRANSPLANT AND TOTAL REPAIR HEART SURGERY
 
Romano, B.W., University of So Paulo Medical School Brazil
 
Background: Surgical interventions on cardiac conditions in children are very well established procedures. All of them has one purpose that is to give back healthy conditions, trying not to interrupt or to interfere in general development. That's one of the reasons why surgical intervention are as earlier as possible. Aim: The purpose of this paper is to compare general development between two groups of children: (A)heart transplant group - children that had to be intimate to some restrictions and treatments all over life; (B)Fallot tetralogy group - children that had a definitive surgery, and after that they are no more seen as cardiac patients. So, they don't have any special treatment after the procedure. Method: Data has been collected from 6 children (3 heart transplantation - Group A, 3 Fallot tetralogy - Group B), matched by age (2yr. 6m) and time after surgery (1 yr.). Group A represents 100% of the children that underwent heart transplantation at this age. They are evaluated by Gesell Development Scale. Results: Gesell Development Scale measures four areas: motricity, adaptation, speech and sociability. These results were compared to those expected for their age. Motricity is the area improved by both groups - that's the reason for a medical intervention, that's to say, give physical condition. The worst results were found on group A for adaptation, speech and sociability. Those three areas are deeply dependent on manipulation of the world. That means, group A - transplant recipient, are more frequently hospitalized for a long period that interferes on their possibilities to explore their world and to cohabit with their family. Keywords: heart transplant, child development, cardiology.