Management of Specific Complications after Congenital Heart Surgery (I)

Abstract

In addition to the general consequences of surgery and cardiopulmonary bypass , lesion-specific complications can occur after surgery for congenital heart disease. It is important for the pediatric intensive care specialist to fully understand the preoperative anatomy and the intraoperative details of these patients. This allows a timely and appropriate treatment of general and lesion-specific complications. In this article we provide a list of commonly-performed surgical procedures and possible associated problems to be anticipated in the early postoperative period. Then it follows a discussion about the diagnosis and management of these complications, based on their pathophysiological features.

The impact of congenital heart disease on the psychological well‐being and quality of life of Hong Kong Chinese adolescents: A cross‐sectional study

“…A review of the literature suggests that paediatric patients with CHD pay a high price because of the need for long‐term regular follow‐ups and the consumption of medication. Some paediatric patients may even encounter post invasive procedures complications, such as pulmonary hypertension, arrhythmias and residual stenosis (Andrés, Miño, Diéguez, Boni, & Moreno, ). A longitudinal study revealed that CHD brought impairments to more than half of school‐age children in relation to multiple developmental domains including cognitive, neurological status, motor, academic, language and speech, and severely affected their quality of life (Bellinger & Newburger, ).…”