Mortality and Risk Factors in Pediatric Cardiac Surgery for Congenital Heart Disease in Mexico.

Cross-sectionalWorld journal for pediatric & congenital heart surgery· Jun 2026

Mortality and Risk Factors in Pediatric Cardiac Surgery for Congenital Heart Disease in Mexico.

Yoana Leyva-López, José L Cerano-Fuentes, Juan Calderón-Colmenero, Jorge L Cervantes-Salazar

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Congenital Cardiac SurgeryCross-sectionalPrognosisQ3IF 0.8

Pediatric congenital heart disease surgery mortality was 9.4%, declining over 14 years in Mexico.

Mortality and Risk Factors in Pediatric Cardiac Surgery for Congenital Heart Disease in Mexico.

Yoana Leyva-López … Jorge L Cervantes-Salazar

World journal for pediatric & congenital heart surgery · Jun 2026 · Q3 in Surgery

Purpose

To describe surgical outcomes, in-hospital mortality, and variables associated with mortality in pediatric patients with congenital heart disease (congenital heart disease) at a national referral center in México over 14 years.

Methods

Retrospective cross-sectional study of 4494 patients under 18 years of age with congenital heart disease undergoing cardiac surgery (2010-2024) at the Instituto Nacional de Cardiología "Ignacio Chávez," using Registro Nacional de Cirugía Cardíaca Pediátrica y Cardiopatías Congénitas (RENACCAPE) data.

n = 4494 patients

Results

About 1 in 10 children died in-hospital after heart surgery, rates falling over time.

10.5%

2010

7.1%

2024

More results

Among 4494 patients (53.5% [2405/4494] male), the predominant age groups were children 1 to 12 years (56.1% [2521/4494]), infants 1 to 11 months (19.8% [888/4494]), adolescents (17.4% [784/4494]), and neonates (6.7% [301/4494]).

More results

Down syndrome (6.2% [277/4494]) and DiGeorge syndrome (1.2% [55/4494]) were the most frequent genetic comorbidities; 85.5% (3844/4494) underwent elective surgery.

Norwood had the highest procedure-specific mortality (71.4% [5/7]), followed by Damus-Kaye-Stansel (60.0%) and Jatene (26.0% [32/123]).

“

Conclusion · 1 of 2

To our knowledge this is this largest single-center Mexican pediatric congenital heart disease series, in-hospital mortality was 9.4% with a declining trend.

Conclusion · 2 of 2

Procedure-specific mortalities exceeded STS benchmarks, identifying targets for quality improvement. Expanding RENACCAPE and strengthening referral networks remain priorities.

Mortality and Risk Factors in Pediatric Cardiac Surgery for Congenital Heart Disease in Mexico.

Mortality and Risk Factors in Pediatric Cardiac Surgery for Congenital Heart Disease in Mexico.

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