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When to Operate on Congenital Heart Disease

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Controversy in Cardiology

Abstract

During the past decade, great advances in the surgical therapy of congenital cardiovascular malformations have taken place and techniques continue to change and improve. Mustard (21) described the correction of transposition of the great arteries using an intraatrial baffle, hypothermia was utilized in repair of cardiac malformation in infancy, a prosthetic conduit with interposed valve was used in cases with pulmonary atresia or truncus arteriosus, and Fontan (10) devised an operation for physiologic correction of tricuspid atresia. With each new solution, however, new problems emerged; some were anticipated and others, unforeseen. The cardiologist caring for the child with congenital heart disease must decide in each case what the indications for surgery are and the optimal time for operation. The decision and recommendations for surgery will be dictated by considering the patient’s symptoms and the anticipated benefits and risks of operation. The indications will have to be balanced against the long-term results of various operative procedures, operative and postoperative mortality and morbidity, and the uncertain fate of some of the prosthetic devices now in use.

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Authors
  1. Amnon Rosenthal M.D.
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Editors and Affiliations

  1. Jefferson Medical College of Thomas Jefferson University, USA

    Edward K. Chung M.D., F.A.C.P., F.A.C.C. (Professor of Medicine, Director of the Heart Station) (Professor of Medicine, Director of the Heart Station)

  2. Thomas Jefferson University Hospital, Philadelphia, PA., 19107, USA

    Edward K. Chung M.D., F.A.C.P., F.A.C.C. (Professor of Medicine, Director of the Heart Station) (Professor of Medicine, Director of the Heart Station)

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© 1976 Springer-Verlag New York Inc.

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Rosenthal, A. (1976). When to Operate on Congenital Heart Disease. In: Chung, E.K. (eds) Controversy in Cardiology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-86000-3_11

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  • DOI: https://doi.org/10.1007/978-3-642-86000-3_11

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-86002-7

  • Online ISBN: 978-3-642-86000-3

  • eBook Packages: Springer Book Archive

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