Neonatal cardiac surgery. Anatomic, physiologic, and technical considerations.
Neonatal repair for all cardiac lesions is an attractive but as yet unattainable goal for the surgical team. We are obliged to consider both lesions that must be repaired in the absolute neonatal period, and those for which later repair is an option. This article serves as an update on some issues relating to neonatal heart surgery. The first section deals with selected general aspects of perioperative support. The second section discusses two representative lesions that illustrate many of the problems encountered in neonatal cardiac surgery: transposition of the great arteries and hypoplastic left heart syndrome.
Division of Cardiothoracic Surgery, Children's Hospital of Philadelphia, Pennsylvania, USA. karl@chop.edu
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D017677:Age Distribution; D002315:Cardiopulmonary Bypass / Q000379:methods; D006330:Heart Defects, Congenital / Q000453:epidemiology / Q000473:pathology / Q000503:physiopathology / Q000601:surgery*; D006439:Hemodynamics; D017052:Hospital Mortality; D006801:Humans; D018636:Hypoplastic Left Heart Syndrome / Q000473:pathology / Q000503:physiopathology / Q000601:surgery; D007231:Infant, Newborn; D018743:Perinatal Care / Q000379:methods*; D012307:Risk Factors; D013536:Suture Techniques; D014188:Transposition of Great Vessels / Q000473:pathology / Q000503:physiopathology / Q000601:surgery; D016896:Treatment Outcome