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- W2186861111 abstract "rogress in pediatric cardiac surgeryover the last 20 to 30 years has al-lowed a large number of neonates,infants and children with congenital heartdiseases to survive until adulthood. As a re-sult, while in former times the term “con-genital heart disease” applied mainly tochildhood (since adults with congenitalheart disease, then encountered only rarely,usually had fewer complications and a rela-tively benign natural history), today it is es-timated that the steadily growing number ofadults with congenital heart diseases hasprobably overtaken the number of child pa-tients. The adult population with congenitalheart disease (grownup congenital heartdisease) has important peculiarities andrequirements. The spectrum of anomaliesand the complexity of the postoperativeanatomy and pathophysiology may extendbeyond the training and experience, notonly of most cardiologists who deal withadults, but also of cardiac surgeons whoare involved only with general cardiac sur-gery in adults. On the other hand, pedi-atric cardiologists who wish to continue tofollow their patients as they grow into ma-turity often have difficulties when they areasked to treat acquired heart conditionsand other adult diseases that afflict thosepatients. Similar problems are faced bypediatric cardiac surgeons who have givenup surgery in adults—for example, as a re-sult of working exclusively in pediatric cen-ters. Consequently, there is an increasedneed for centers that bring together theskills of cardiac surgeons and cardiologistsor pediatric cardiologists who have knowl-edge and experience of congenital heartdisease in adults. Recognizing the impor-tance of this problem, at its 32nd Meetingin Bethesda (2-3 October, 2000) the Ameri-can College of Cardiology endorsed an in-vestigation into the subject: “Care of theAdult with Congenital Heart Disease.” Theassociated report was published in the Col-lege’s journal in the spring of 2001." @default.
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- W2186861111 date "2005-01-01" @default.
- W2186861111 modified "2023-09-28" @default.
- W2186861111 title "Cardiac Surgery In Adults With Congenital Heart Disease: An Emerging Challenge" @default.
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