RT Book, Section
A1 Burke, Redmond P.
A2 Cohn, Lawrence H.
SR Print(0)
ID 55928482
T1 Chapter 60. Surgery for Adult Congenital Heart Disease
T2 Cardiac Surgery in the Adult, 4e
YR 2012
FD 2012
PB The McGraw-Hill Companies
PP New York, NY
SN 978-0-07-163310-9
LK accesssurgery.mhmedical.com/content.aspx?aid=55928482
RD 2024/04/24
AB Improved  outcomes  for  pediatric  patients  with  congenital  heart  disease  have  created  a  growing  population  of  surviving  adults,  with  increasingly  complex  treatment  requirements  for  their  adult  congenital  heart  disease  (ACHD).  Over  the  past  two  decades,  the  spectrum  of  complexity  for  ACHD  patients  has  evolved  from  late  primary  repairs  of  patients  with  simple  lesions  including  coarctation,  patent  ductus,  septal  defects,  and  tetralogy  of  Fallot,  to  nth  time  reoperations  on  survivors  of  complex  multistaged  palliations  of  one-  and  two-ventricle  hearts.  Internationally,  significant  efforts  to  define  the  optimal  program  resources  necessary  to  effectively  treat  ACHD  patients  have  been  made,  yet  many  congenital  heart  patients  continue  to  suffer  from  poor  continuity  of  care  as  they  enter  adulthood.1  This  chapter  describes  several  current  treatment  strategies  and  results  for  adult  patients  undergoing  congenital  heart  surgery.