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The ultimate guidelines for managing adult congenital heart disease from European society of cardiology !

Posted Sep 18 2010 6:38am

The classical statistics says  Congenital heart disease occurs .8/1000 in general population. Survival into adult hood is  an entirely different story  .In the last half a century  , cardiac surgeons ably  assisted by anestheteists (Most dedicated ,Hats off !) , interventional cardiologists (With some conflicts !)    have lifted up the survival curve of all sort of  congenital  heart disease.

We have now complete  cure for  many   of the  dreaded diseases of the past .Currently ,most cases of TOF, VSD, ASD , Co-arctation of aorta,  bulk of the TGVs , DORVs are correctible.Only patients with severe forms of hypoplastiv LV, pulmonary atresias and complex outflow defects are facing death in infancy.

However ,  these patients often require prolonged follow up and may require  staged surgeries,  especially who undergo univentricualr  repair for complex cyanotic diseases .Some require   fine tuning of the  anatomical conduits  etc as dictated by the growth of child. Few may develop complications in adult hood .

 This may be due to

  •   Added hemodynamic stress 
  •   Infection of the  biological or synthetic material used .
  •   Few will show progression of the native disease .

 The timing of release of this guideline could not be more appropriate . In this hi -tech pediatric cardiology  era , we are  talking about cardiac transplantation for complex CHD , where surgery is not possible or has unacceptable mortality .

ESC  has updated the version in 2010.  Let us enjoy this 43 page treasure , gifted to cardiac physicians, surgeons and the fellows !

Link placed  here  with the  due courtesy  of  ESC


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