Developmental problems in school age children with congenital heart defects

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There have been ongoing questions regarding the developmental status of children who have undergone surgery for a congenital heart defect. Most previous studies have not had very long follow up. In this issue of The Journal, Majnemer et al report on a cohort of children who underwent surgery at Montreal Children's Hospital who were followed up with at age 5 years. Few children had restriction of mobility. Mean IQ scores were in the low normal range and behavioral difficulties were common. A range of developmental difficulties were observed at school entry that increases the risk for difficulty in school. These children and their families may need increased support to identify developmental problems early and begin intervention to improve ultimate performance in school.