Changing Profile of Congenital Heart Disease

PEDIATRICS ◽  
1989 ◽  
Vol 83 (5) ◽  
pp. 790-791
Author(s):  
D. WOODROW BENSON ◽  
James Moller ◽  
Donald C. Fyler ◽  
David E. Fixler
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Surgical Treatment ◽  
Congenital Heart ◽  
Considerable Change ◽  
Diagnostic Methods ◽  
Younger Patients ◽  
The Past ◽  
Steady Improvement ◽  
Complex Lesions

In the past 20 years, considerable change has occurred in the profile of congenital heart disease regarding both diagnosis and treatment. The profile has changed from older to younger patients; the essence of this change has been from pediatric to infant to neonatal cardiology. There has been a shift from palliative to more definitive surgical procedures and a change from invasive (cardiac catheterization) to noninvasive (echocardiography) diagnostic methods. The profile has changed from definitive surgical treatment limited to simple lesions to surgical treatment of the most complex lesions. There has been steady improvement in the recognition of cases of congenital heart disease. Of all children admitted to hospitals for treatment of congenital heart disease, the portion less than three days of age has increased from 24% in 1969 to 1972 to 33% in 1982 to 1986.

scholarly journals Surgical treatment of congenital heart disease with Eisenmenger syndrome

2021 ◽  
Vol 18 (1) ◽  
pp. 14-18
Author(s):  
Rakhima Mekenbayeva ◽  
Ulugbek Mazhidov ◽  
Yerbol Aldabergenov
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Surgical Treatment ◽  
Congenital Heart ◽  
Eisenmenger Syndrome

Indications for Surgical Treatment in Congenital Heart Disease

1961 ◽  
Vol 54 (3) ◽  
pp. 308-312 ◽  
Author(s):  
PAUL W. SANGER ◽  
FRANCIS ROBICSEK ◽  
FREDERICK H. TAYLOR ◽  
SARIEL G.G ABLAZA ◽  
TERRY T. REES
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Surgical Treatment ◽  
Congenital Heart

An Atlas of Congenital Heart Disease

PEDIATRICS ◽  
1963 ◽  
Vol 32 (6) ◽  
pp. 1077-1077
Author(s):  
NORMAN J. SISSMAN
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Clinical Management ◽  
Congenital Heart ◽  
Pathological Examination ◽  
Children's Hospital ◽  
The Past ◽  
Present Volume ◽  
Children’S Hospital

Despite the vast experience accumulated during the past decade with all aspects of the lives and deaths of patients with congenital heart disease, there is still room for the clarification and direction that careful, informed, imaginative analysis of the results of pathological examination of postmortem material can give to the clinical management of these patients. Dr. Sherman has made a notable contribution in this area with the present volume. The atlas was compiled from 503 specimens collected in the Museum of Congenital Heart Disease at the Children's Hospital in Pittsburgh since 1954.

The roles of CMR and MSCT in adult congenital heart disease

2015 ◽  
pp. 588-600
Author(s):  
Philip Kilner ◽  
Ed Nicol ◽  
Michael Rubens
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Radiation Dose ◽  
Coronary Arteries ◽  
Congenital Heart ◽  
Adult Congenital Heart Disease ◽  
Younger Patients ◽  
Unrestricted Access ◽  
Adult Congenital ◽  
Collateral Vessels

Both CMR and MSCT give almost unrestricted access to intra-thoracic structures, whereas ultrasonic access may be limited in ACHD patients. MSCT, generally using intravascular contrast, gives superior spatial resolution more rapidly than CMR, although the radiation dose is a concern in younger patients who may require repeated studies. MSCT gives better visualisation of epicardial coronary arteries and small collateral vessels, and can show conduit calcification or stent location clearly. It provides an alternative to CMR in patients with a pacemaker or ICD. CMR offers unrivalled versatility of acquisition methods without ionizing radiation, enabling measurements of biventricular function, flow, myocardial viability, angiography and more. A dedicated CMR service should be available in a centre specializing in ACHD care. Appropriate understanding is needed for the evaluation of congenitally and surgically altered circulatory function, for example after Fontan operations, surgery for transposition of the great arteries or tetralogy of Fallot.

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