PMID: 1725980Sep 1, 1991

Surgical management of congenital heart defects: current trends

Indian Journal of Pediatrics
P S Chopra, P S Rao


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.


Aug 28, 2003·Indian Journal of Pediatrics·P Syamasundar RaoSeshadri Balaji
Aug 15, 2014·The Cochrane Database of Systematic Reviews·Kelly GrayJoshua Burns


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Related Concepts

Congenital Neurologic Anomalies
Cardiac Surgery Procedures
Congenital Heart Defects
Hypoplastic Left Heart Syndrome
Heart Valve Prosthesis
Heart Transplantation
Pulmonary Circulation
Tricuspid Atresia
Heart Diseases
Palliative Surgery

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