Document Detail


New surgery for better outcomes: shaping the field of congenital heart disease.
MedLine Citation:
PMID:  19693458     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The field of congenital heart disease is constantly evolving through better understanding of the disease itself, albeit its history, prevalence, genetics, and follow-up. Concurrently surgical techniques and approaches have been developed, modified, and refined. DATA SOURCES: The impact of interventional pediatric cardiology has been dramatic. The field of catheter-based therapies has exploded with the first pulmonary valve balloon angioplasty in 1982. With evolving stent technology, they are now used in multiple areas, including pulmonary arteries, vena cavae, aortic and arch and descending aorta for coarctation. The hybrid surgery concept involves a multidisciplinary team of interventional cardiologist and surgeon combining catheter-intervention and surgery in the surgical theater such as pulmonary artery stent implantation associated with pulmonary valve replacement. Furthermore, in selected cases, pulmonary valve device implantation is becoming an accepted approach to a surgical problem. RESULTS: Balloon angioplasties, stent implantations, hybrid surgeries and pulmonary valve device implantation are performed with a very low mortality and morbidity. The risks and benefits outweigh the ones associated to surgical procedures. CONCLUSION: With fast developing interventional therapies, the work of pediatric cardiologists and cardiac surgeons is more intertwined than ever in search of better outcomes for the children with congenital heart disease.
Authors:
Jacques G Leblanc
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Publication Detail:
Type:  Journal Article     Date:  2009-08-20
Journal Detail:
Title:  World journal of pediatrics : WJP     Volume:  5     ISSN:  1708-8569     ISO Abbreviation:  -     Publication Date:  2009 Aug 
Date Detail:
Created Date:  2009-08-20     Completed Date:  2009-12-23     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101278599     Medline TA:  World J Pediatr     Country:  China    
Other Details:
Languages:  eng     Pagination:  165-8     Citation Subset:  IM    
Affiliation:
British Columbia Children's Hospital, 4480 Oak Street, Suite AB307, Vancouver, BC, V6H 3V4, Canada. jleblanc@cw.bc.ca
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MeSH Terms
Descriptor/Qualifier:
Cardiac Surgical Procedures / trends*
Child
Dipeptides
Heart Catheterization
Heart Defects, Congenital / surgery*
Humans
Hypoplastic Left Heart Syndrome / surgery
Pulmonary Valve / surgery
Reoperation
Stents
Thiazoles
Treatment Outcome
Chemical
Reg. No./Substance:
0/3-methoxy-2-(3-methoxy-2-((2-methyl-1,3-thiazol-5-yl)formamido)propanamido)-N-(1-(2-methyloxiran-2-yl)-1-oxo-3-phenylpropan-2-yl)propanamide; 0/Dipeptides; 0/Thiazoles

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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