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Pediatric Critical Care Medicine pp 303–321Cite as

Surgical Interventions for Congenital Heart Disease

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Abstract

Surgery for congenital heart disease encompasses a wide variety of procedures that are often performed in combination. Not all the operations are anatomic as some are physiologic to compensate for lesions in which an anatomic repair is not possible. Over the past decade, it has become apparent that the cumulative morbidity and mortality of palliative operations, followed by later repair, is greater than that of early reparative procedures. Primary reparative surgery in the neonate offers the opportunity to decrease the mortality and morbidity caused by the primary defect by preventing secondary damage to other organ systems. With further refinement of the timing and technique of cardiac surgery and postoperative care, there is likely to be future reduction in mortality rates for specific surgeries and secondary morbidity.

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Author information

Authors and Affiliations

  1. Department of Cardiothoracic Surgery, The Children’s Hospital of Philadelphia, 34th Street and Civic Center Blvd. Suite #12NW10, Philadelphia, PA, 19104, USA

    Stephanie Fuller MD, MS & Thomas L. Spray MD

  2. Divisions of Cardiology and Critical Care Medicine, Department of Pediatrics, Cincinnati Children’s Hospital Medical Center, 3333 Bumet Ave, MLC 5050, Cincinnati, OH, 45229, USA

    Bradley S. Marino MD, MPP, MSCE

Authors
  1. Stephanie Fuller MD, MS
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  2. Bradley S. Marino MD, MPP, MSCE
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  3. Thomas L. Spray MD
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Corresponding author

Correspondence to Stephanie Fuller MD, MS .

Editor information

Editors and Affiliations

  1. Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA

    Derek S. Wheeler

  2. Div. of Critical Care Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA

    Hector R. Wong

  3. University of Michigan Medical School, Ann Arbor, Michigan, USA

    Thomas P. Shanley

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Fuller, S., Marino, B.S., Spray, T.L. (2014). Surgical Interventions for Congenital Heart Disease. In: Wheeler, D., Wong, H., Shanley, T. (eds) Pediatric Critical Care Medicine. Springer, London. https://doi.org/10.1007/978-1-4471-6359-6_23

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  • DOI: https://doi.org/10.1007/978-1-4471-6359-6_23

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