Surgical management of congenital heart defects: current trends.

Abstract:

:Surgical treatment for congenital heart disease has become available over the last five decades. Palliative procedures have been designed to improve physiologic abnormalities, for example systemic artery (or venous) to pulmonary artery shunts of various types to increase the pulmonary blood flow, pulmonary artery constriction (banding) to decrease the pulmonary blood flow, and surgical or transcatheter atrial septostomy to augment intracardiac mixing. These can be performed with a low mortality. The majority of congenital heart defects can be corrected by open heart surgical techniques; some require prior palliation and others can be operated without prior palliative surgery. Recent surgical advances include early total surgical correction for tetralogy of Fallot, arterial switch procedure for transposition of the great arteries, Fontan operation and its modifications for tricuspid atresia and single ventricle, new operations for hypoplastic left heart syndrome, newer prosthetic valves, myocardial preservation and cardiac transplantation.

journal_name

Indian J Pediatr

authors

Chopra PS,Rao PS

doi

10.1007/BF02820180

subject

Has Abstract

pub_date

1991-09-01 00:00:00

pages

623-40

issue

5

eissn

0019-5456

issn

0973-7693

journal_volume

58

pub_type

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