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Manual of Postoperative Care in Pediatric Cardiac Surgery - Section II
Sirivella Srikrishna
ISBN: 978-1-941926-35-2
The optimal postoperative management of any individual congenital cardiac defect requires concise knowledge of the morphology, pathophysiology of the lesion and its impact on physiology of the body as a whole. The nature of a surgical correction performed to alter the preexisting pathophysiology of the lesion influences the postoperative management of a patient. In turn, the management should adhere to the principles of general pediatric cardiac surgical care (See section I). The surgical course such as operative technique, cardiopulmonary bypass time, the choice of myocardial protection also influences the postoperative management and patient outcomes. The detailed postoperative management of any congenital cardiac defect should therefore be taken into cognizance of several issues prevailed at the operation. In this section, the issues pertaining to the postoperative care of an individual congenital cardiac lesion are addressed with a brief discussion of the morphology, pathophysiology and surgical management of an individual cardiac lesion.
1. Patent Ductus Arteriosus  
2. Secundum Atrial Septal Defect  
3. Ventricular Septal Defect  
4. Atrio-Ventricular Septal Defect  
5. Coarctation of Aorta  
6. Interrupted Aortic Arch  
7. Subaortic Stenosis  
8. Ross Procedure  
9. Tetralogy of Fallot  
10. Truncus Arteriosus  
11. Pulmonary Atresia with Ventricular Septal defect  
12. Transposition of Great Arteries & Arterial Switch  
13. Rastelli Procedure  
14. Hypoplastic Left Heart Syndrome & Norwood Procedure  
15. Pulmonary Atresia with Intact Ventricular Septum  
16. Tricuspid Atresia  
17. Univentricular Heart & Fontan Circulation  
18. Later Fontan Patient  
19. Total Anomalous Pulmonary Venous Connection  
20. Ebstein’s Malformation  
21. Anomalous left coronary artery from the Pulmonary Artery  
22. Systemic Pulmonary Artery Shunt  
23. Pulmonary Artery Banding  
Sirivella Srikrishna
MD, FRCSEd, MNAMAS, BRS Hospitals, MADRAS, Sri Venkateswara Institute of Medical Sciences, Tirupati.
Cardiac surgery and cardiovascular disease specialists include anesthesiologists, intensive care specialists as well as trainees, the pediatricians and medical students. The audience also includes all the nurses and physicians and other specialists involved in the care of the pediatric cardiac surgical patients.
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