Guidelines for the outpatient management of complex congenital heart disease.
An increasingly complex group of children is now being followed as outpatients after surgery for congenital heart disease. A variety of complications and physiologic perturbations, both expected and unexpected, may present during follow-up, and should be anticipated by the practitioner and discussed with the patient and family. The purpose of this position article is to provide a framework for outpatient follow-up of complex congenital heart disease, based on a review of current literature and the experience of the authors.
Wernovsky
Gil
G
Division of Pediatric Cardiology, The Children's Hospital of Philadelphia, Philadelphia, PA, USA. wernovsky@email.chop.edu
Rome
Jonathan J
JJ
Tabbutt
Sarah
S
Rychik
Jack
J
Cohen
Meryl S
MS
Paridon
Stephen M
SM
Webb
Gary
G
Dodds
Kathryn M
KM
Gallagher
Maureen A
MA
Fleck
Desiree A
DA
Spray
Thomas L
TL
Vetter
Victoria L
VL
Gleason
Marie M
MM
D000293:Adolescent; D006348:Cardiac Surgical Procedures / Q000534:rehabilitation*; D002648:Child; D018729:Fontan Procedure; D017408:Guidelines as Topic; D018610:Heart Bypass, Right; D006330:Heart Defects, Congenital / Q000601:surgery*; D006801:Humans; D007223:Infant; D010817:Physician-Patient Relations; D011183:Postoperative Complications