Neonatal cardiovascular physiology.

Abstract:

:The pediatric surgeon deals with a large number and variety of congenital defects in neonates that frequently involve early surgical intervention and care. Because the neonatal cardiac physiology is unique, starting with the transition from fetal circulation and including differences in calcium metabolism and myocardial microscopic structure and function, it serves the pediatric surgeon well to have a sound understanding of these principles and how they directly and indirectly affect their plans and treatments. In addition, many patients will have associated congenital heart disease that can also dramatically influence not only the surgical and anesthetic care but also the timing and planning of procedures. Finally, the pediatric surgeon is often called upon to treat conditions and complications associated with complex congenital heart disease such as feeding difficulties, bowel perforations, and malrotation in heterotaxy syndromes. In this article, we will review several unique aspects of neonatal cardiac physiology along with the basic physiology of the major groups of congenital heart disease to better prepare the training and practicing pediatric surgeon for care of these complex and often fragile patients.

journal_name

Semin Pediatr Surg

authors

Hines MH

doi

10.1053/j.sempedsurg.2013.10.004

subject

Has Abstract

pub_date

2013-11-01 00:00:00

pages

174-8

issue

4

eissn

1055-8586

issn

1532-9453

pii

S1055-8586(13)00056-5

journal_volume

22

pub_type

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