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.
The Full Book PDF |
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Front Matter |
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Chapter 1 Patent Ductus Arteriosus |
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1.1 Morphology
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1.2 Pathophysiology
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1.3 Sequelae of PDA
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1.4 Indications for Closure of PDA
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1.5 Surgical Techniques
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1.6 Postoperative Management
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Chapter 2 Secundum Atrial Septal Defect |
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2.1 Morphology
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2.2 Pathophysiology
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2.3 Surgical Treatment
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2.4 Surgical Technique
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2.5 Postoperative Management
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Chapter 3 Ventricular Septal Defect |
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3.1 Morphology
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3.2 Pathophysiology
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3.3 Surgical Treatment
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3.4 Operative Technique
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3.5 Postoperative Management
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Chapter 4 Atrioventricular Septal Defects |
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4.1 Morphology
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4.2 Pathophysiology
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4.3 Treatment
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4.4 Operative Technique
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4.5 Postoperative Management
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Chapter 5 Coarctation of Aorta |
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5.1 Morphology & Pathophysiology
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5.2 Surgical Technique
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5.3 Postoperative Management
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Chapter 6 Interrupted Aortic Arch |
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6.1 Morphology & Pathophysiology
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6.2 Operative Techniques
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6.3 Postoperative Management
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Chapter 7 Subaortic Stenosis |
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7.1 Morphology
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7.2 Pathophysiology
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7.3 Treatment
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7.4 Operative Techniques
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7.5 Postoperative Management
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Chapter 8 Ross Procedure |
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8.1 Indications & Scope of the Aortic Valve Procedures
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8.2 Contraindications for Ross Operation
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8.3 Principles of Ross Operation
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8.4 Operative Technique
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8.5 Postoperative Management
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Chapter 9 Tetralogy of Fallot |
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9.1 Morphology
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9.2 Pathophysiology
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9.3 Management of Hypercyanotic Tet Spells
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9.4 Surgical Treatment
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9.5 Operative Procedure
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9.6 Postoperative Management
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Chapter 10 Truncus Arteriosus |
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10.1 Morphology & Pathophysiology
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10.2 Surgical Treatment
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10.3 Postoperative Management
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Chapter 11 Pulmonary Atresia with Ventricular Septal Defect |
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11.1 Morphology
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11.2 Operative Principles
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11.3 Postoperative Management
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Chapter 12 Transposition of Great Arteries & Arterial Switch |
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12.1 Morphology
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12.2 Pathophysiology
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12.3 Perioperative Management
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12.4 Operative Procedures
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12.5 Postoperative Management
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Chapter 13 Rastelli Procedure |
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13.1 Objective
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13.2 Operative Technique
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13.3 Postoperative Management
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Chapter 14 Hypoplastic Left Heart Syndrome & Norwood Procedure |
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14.1 Morphology & Pathophysiology
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14.2. Preoperative Management
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14.3 Surgical Management of HLHS
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14.4 Postoperative Management
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Chapter 15 Pulmonary Atresia with Intact Ventricular Septum |
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15.1 Morphology & Pathophysiology
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15.2 Principles of Surgical Management
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15.3 Postoperative Management
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Chapter 16 Tricuspid Atresia |
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16.1 Morphology
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16.2 Pathophysiology
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16.3 Clinical Presentation
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16.4 Medical Management
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16.5 Surgical Management
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16.6 Postoperative Management
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Chapter 17 Univentrcular Heart & Fontan Circulation |
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17.1 Morphology & Pathophysiology
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17.2 Operative Procedures
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17.3 Postoperative Management
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Chapter 18 Later Fontan Patient |
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18.1 Symptoms & Signs
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18.2 Diagnosis & Management
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18.3 Arrhythmia
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18.4 Protein-Losing Enteropathy
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18.5 Ventricular Dysfunction
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18.6 Thromboembolism
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18.7 Pregnancy
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Chapter 19 Total Anomalous Pulmonary Venous Connection |
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19.1 Morphology & Pathophysiology
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19.2 Operative Procedures
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19.3 Postoperative Management
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19.4 Surgical Reinterventions During the Postoperative Period
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Chapter 20 Ebstein’s Malformation |
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20.1 Morphology & Pathophysiology
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20.2 Perioperative Management
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20.3 Surgical Treatment
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20.4 Postoperative Management
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Chapter 21 Anomalous left Coronary Artery from the Pulmonary Artery |
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21.1 Pathophysiology
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21.2 Clinical Symptoms
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21.3 Diagnosis
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21.4 Surgical Treatment
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21.5 Perioperative Management
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Chapter 22 Systemic-Pulmonary Artery Shunt |
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22.1 Types of Shunts
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22.2 Pathophysiology
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22.3 Blocked BT Shunt / Shunt Failure
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22.4 Anticoagulation of Modified BT Shunt
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22.5 Pulmonary Overcirculation
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22.6 Miscellaneous Issues with Systemic - Pulmonary Artery Shunt
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Chapter 23 Pulmonary Artery Banding |
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23.1 Objective of PAB & Pathophysiology
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23.2 Indications
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23.3 Issues with PAB & Specific Situations
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23.4 Surgical Technique
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23.5 Postoperative Management
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23.6 Follow-up
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Back Matter |
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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.