TY - JOUR
T1 - State of the art of cardiac surgery in patients with congenital heart disease
AU - Zannini, Lucio
AU - Borini, Italo
PY - 2007/1
Y1 - 2007/1
N2 - During the last 20 years, pediatric cardiac surgery has been characterized by important changes, with reductions in surgical mortality and the achievement of complete repair at an earlier age, thus avoiding multiple procedures and strongly ameliorating the global outcome of these patients. In this review, we describe the actual trends in the surgical treatment of cardiac malformations. We analyze two groups of patients: in the first group (septal defects, tetralogy of Fallot, transposition of the great arteries, aortic stenosis and coarctation) the indications are well established and the goal is represented by a lessening of the surgical trauma and post-operative morbidity, with stable results in the follow-up. In the second group (univentricular heart, pulmonary atresia and intact ventricular septum, double discordance, conduit, hypoplastic left heart syndrome), the lesions are still considered complex and submitted to ongoing experimental and clinical research, in order to improve the post-surgical history of these diseases.
AB - During the last 20 years, pediatric cardiac surgery has been characterized by important changes, with reductions in surgical mortality and the achievement of complete repair at an earlier age, thus avoiding multiple procedures and strongly ameliorating the global outcome of these patients. In this review, we describe the actual trends in the surgical treatment of cardiac malformations. We analyze two groups of patients: in the first group (septal defects, tetralogy of Fallot, transposition of the great arteries, aortic stenosis and coarctation) the indications are well established and the goal is represented by a lessening of the surgical trauma and post-operative morbidity, with stable results in the follow-up. In the second group (univentricular heart, pulmonary atresia and intact ventricular septum, double discordance, conduit, hypoplastic left heart syndrome), the lesions are still considered complex and submitted to ongoing experimental and clinical research, in order to improve the post-surgical history of these diseases.
KW - Congenital heart disease
KW - Pediatric cardiac surgery
UR - http://www.scopus.com/inward/record.url?scp=33846590056&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=33846590056&partnerID=8YFLogxK
U2 - 10.2459/01.JCM.0000247427.44204.0d
DO - 10.2459/01.JCM.0000247427.44204.0d
M3 - Article
C2 - 17255808
AN - SCOPUS:33846590056
VL - 8
SP - 3
EP - 6
JO - Journal of Cardiovascular Medicine
JF - Journal of Cardiovascular Medicine
SN - 1558-2027
IS - 1
ER -