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Congenital heart disease in adults. Considerations about evolution, natural and in operated patients

Year: 2001
Type: article
Abstract: Congenital Heart Disease in Adults. Considerations about Evolution, Natural and in Operated Patients UpdateThanks to diagnostic, therapeutic, and surgical advances, recent years have witnessed increasing numbers of congenital cardiopathic pediatric patients reach adulthood.Interest in this specialty among general cardiologists has followed, albeit with the obligatory aim of improving knowledge about the subject, albeit to learn about the most correct conduct to adopt in these cases.Such growing interest on the part of the cardiologist who treats adults is the consequence of the need to give the continuity required for adequate management of congenital cardiopathy starting most assuredly in early infancy.To better discuss this subject, it is worth initially establishing guidelines for correct diagnosis and management.Congenital cardiopathy in the adult usually presents itself in two forms: that of natural evolution, and that of survivals of earlier surgery performed in breast-feeding newborns, infants, or during adolescence.Natural evolution is of two kinds: one, with an unestablished previous diagnosis, showing discrete defects or even hemodynamic repercussions, and another, with a previously established diagnosis, but no surgical intervention having been performed due to counter-indication or lack of criteria indicating previous surgery.The second form of presentation, postsurgical evolution reaching adulthood, includes patients who undergo one of three types of operations: palliative, correction of function, and anatomofunctional correction.
Language: English
Field: Medicine
Open Access status: diamond
OpenAlex ID: W2114519321
FWCI:
Cites: 34
Cited by: 4
Related to: 10