Consensus on timing of intervention for common congenital heart diseases: part II - cyanotic heart defects

Indian Journal of Pediatrics
P Syamasundar Rao


The purpose of this review/editorial is to discuss how and when to treat the most common cyanotic congenital heart defects (CHDs); the discussion of acyanotic heart defects was presented in a previous editorial. By and large, the indications and timing of intervention are decided by the severity of the lesion. While some patients with acyanotic CHD may not require surgical or transcatheter intervention because of spontaneous resolution of the defect or mildness of the defect, the majority of cyanotic CHD will require intervention, mostly surgical. Total surgical correction is the treatment of choice for tetralogy of Fallot patients although some patients may need to be palliated initially by performing a modified Blalock-Taussig shunt. For transposition of the great arteries, arterial switch (Jatene) procedure is the treatment of choice, although Rastelli procedure is required for patients who have associated ventricular septal defect (VSD) and pulmonary stenosis (PS). Some of these babies may require Prostaglandin E1 infusion and/or balloon atrial septostomy prior to corrective surgery. In tricuspid atresia patients, most babies require palliation at presentation either with a modified Blalock-Taussig shunt or pulmonary artery...Continue Reading


Sep 1, 1975·The American Journal of Cardiology·M DickA S NADAS
Oct 1, 1978·Circulation·S C ParkR A Zoltun
Jan 1, 1992·Catheterization and Cardiovascular Diagnosis·P S RaoM Brais
Sep 11, 1991·The Annals of Thoracic Surgery·W I Norwood
Nov 1, 1991·The Annals of Thoracic Surgery·H LaksR G Williams
May 1, 1988·American Heart Journal·P. Syamasundar Rao, M Brais
Feb 1, 1986·Australian and New Zealand Journal of Medicine·R M McCredieG Warner
Oct 1, 1985·The Annals of Thoracic Surgery·P S Rao
May 1, 1971·Thorax·F Fontan, E Baudet
Jan 1, 1980·The American Journal of Cardiology·W I NorwoodS P Sanders
Jan 1, 1984·Catheterization and Cardiovascular Diagnosis·P S Rao
Oct 1, 1984·Annals of Surgery·P A EbertA M Rudolph
Dec 1, 1983·British Heart Journal·P S Rao, G M Lawrie
Jan 6, 1983·The New England Journal of Medicine·W I NorwoodD D Hansen
Jan 1, 1993·The Annals of Thoracic Surgery·M K Heinemann, F L Hanley
Aug 1, 1996·The Journal of Thoracic and Cardiovascular Surgery·T YagiharaY Kawashima
Apr 1, 1997·Catheterization and Cardiovascular Diagnosis·M A KuhnR L Larsen
Dec 31, 1997·Catheterization and Cardiovascular Diagnosis·G SibliniI C Balfour
May 25, 1999·Circulation·J L GibbsK G Watterson
Feb 24, 2001·The Annals of Thoracic Surgery·D BonnetP R Vouhé
Jul 3, 2002·Current Treatment Options in Cardiovascular Medicine·P. Syamasundar Rao
Aug 21, 2003·The Journal of Thoracic and Cardiovascular Surgery·Shunji SanoShin-ichi Ohtsuki
Nov 1, 1958·Pediatric Clinics of North America·J A NOONAN, A S NADAS
Apr 9, 2005·Seminars in Thoracic and Cardiovascular Surgery. Pediatric Cardiac Surgery Annual·Christian Pizarro, Kenneth A Murdison
Jan 24, 2006·The Annals of Thoracic Surgery·Antonio LauditoScott M Bradley
Oct 26, 2006·The Annals of Thoracic Surgery·Nancy S GhanayemJames S Tweddell
May 16, 2007·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Jessica de VriesFelix Zijlstra
Jul 30, 2008·Pediatric Cardiology·Vikas KohliEbeid R Makram
May 28, 2010·The New England Journal of Medicine·Richard G OhyePediatric Heart Network Investigators
Jul 29, 2010·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Akshay Kumar BisoiShyam Sunder Kothari

Related Concepts

Related Feeds

Birth Defects

Birth defects encompass structural and functional alterations that occur during embryonic or fetal development and are present since birth. The cause may be genetic, environmental or unknown and can result in physical and/or mental impairment. Here is the latest research on birth defects.