Congenital heart disease in children diagnosed, many parents are in doubt. Some parents believe that the child is too young to withstand the
Congenital heart disease in children diagnosed, many parents are in doubt. Some parents believe that the child is too young to withstand the trauma of surgery, or older children, such as the implementation of more safe surgery. Often seen in some clinical heart disease due to missed the best time of operation, the operation time, delaying the disease, resulting in the loss of opportunity for surgery cause lifelong regret. Therefore, the operation time of heart disease can not be determined by age. Should be based on the patient's specific condition.
Shanghai Yuanda Cardiothoracic Hospital director Li Xiaobo said: simple congenital heart disease such as atrial septal defect, ventricular septal defect and patent ductus arteriosus should be operated early, but small ventricular septal defects (diameter less than 5mm) may be naturally closed. If the patients with ventricular septal defect, atrial septal defect or a large patent ductus arteriosus, recurrent pneumonia, heart failure with pulmonary hypertension should be operated within 1 years of age. For complex heart malformation, radical or palliative operation should be decided according to the patients with pulmonary vascular development, pulmonary artery pressure and pulmonary collateral etc.. Surgery of tetralogy of Fallot in children as in less than a year old after birth due to pulmonary vascular development is not good for the body - pulmonary shunt surgery, two patients underwent radical operation. If conditions permit should be performed as early as possible radical surgery. Complete transposition of the great arteries and pulmonary artery pressure, pulmonary valve normal development, should be in the two week after birth in the arterial switch operation, the night should not exceed three months. For patients with delayed timing of surgery, the left ventricular function training can be performed first, and then the operation is performed. Complete transposition of the great arteries complicated with pulmonary valve stenosis patients to surgery, except in cases of severe hypoxia, the first shunt, otherwise after surgery after birth at the age of three. Double outlet right ventricle, single ventricle and other complex malformations should be diagnosed as early as possible in a conditional hospital, and then according to the patient's condition to determine the timing of surgery and surgical methods, for the best surgical results.