Interact CardioVasc Thorac Surg 2008;7:89. doi:10.1510/icvts.2007.162941A © 2008 European Association of Cardio-Thoracic Surgery
Cardiac surgery in grown-up congenital heart patients. Will the surgical workload increase?
Prashant Shah
Miot Children Cardiac Care, Chennai 600089, India
Cardiac surgery in grown-up congenital heart patients. Will the surgical workload increase?
After reading the article by Klcovansky and colleagues, I have the following comments [1]. As congenital surgery started very early in developing countries, these centres are getting previously operated patients back for either complications from previous surgery or associated with acquired diseases like coronary artery disease and valvular problems. Unlike developing countries, we are still facing the problem of having large numbers of unoperated defects presenting at adulthood. In addition with the problems related to intensive care, follow-up is an issue. The suggestion of having a separate speciality for them is practically not possible as all over world centers are facing problems of inadequate manpower for trained congenital surgeons.
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Reference
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- Klcovansky J, Sondergaard L, Helvind M, Andersen HO. Cardiac surgery in grown-up congenital heart patients. Will the surgical workload increase? Interact CardioVasc Thorac Surg 2008; 7:84–89.[Abstract/Free Full Text]
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Cardiac surgery in grown-up congenital heart patients. Will the surgical workload increase?
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