Surgical Treatment of Congenital Heart Diseases in Adults

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Abstract

The results of treatment of 701 adult patients with congenital heart diseases from 1987 to 1997 are analyzed. As many as 248 operations with general postoperative lethality 3,2% are made. It is concluded on the necessity of improving the diagnosis of congenital heart diseases in children, especially in rural regions in relation to the high rate of inopportune revealing heart diseases resulting in the increase of the number of inoperable patients with pronounced pulmonary hypertension. The presence of symptoms or pronounced blood escape out of the left article into the right one in the absence of pulmonary hypertension is considered the indication to the radical correction of secondary defect of interatrial septum in adults. The radical heart disease correction in conditions of moderate hypotermy without artificial blood circulation is recommended in small secondary defect of interatrial septum

About the authors

V. N. Medvedev

Kazan Center for Cardiovascular Surgery named after N.P. Medvedev; Kazan State Medical University

Author for correspondence.
Email: info@eco-vector.com

Department of Surgical Diseases No. 2, Department of Neuropathology, Neurosurgery and Medical Genetics

Russian Federation, Kazan; Kazan

Sh. M. Kurmaev

Kazan Center for Cardiovascular Surgery named after N.P. Medvedev; Kazan State Medical University

Email: info@eco-vector.com

Department of Surgical Diseases No. 2, Department of Neuropathology, Neurosurgery and Medical Genetics

Russian Federation, Kazan; Kazan

G. I. Kharitonov

Kazan Center for Cardiovascular Surgery named after N.P. Medvedev; Kazan State Medical University

Email: info@eco-vector.com

Department of Surgical Diseases No. 2

Russian Federation, Kazan; Kazan

R. F. Sadekov

Kazan Center for Cardiovascular Surgery named after N.P. Medvedev; Kazan State Medical University

Email: info@eco-vector.com

Department of Surgical Diseases No. 2, Department of Neuropathology, Neurosurgery and Medical Genetics

Russian Federation, Kazan; Kazan

I. I. Vagizov

Kazan Center for Cardiovascular Surgery named after N.P. Medvedev; Kazan State Medical University

Email: info@eco-vector.com

Department of Surgical Diseases No. 2, Department of Neuropathology, Neurosurgery and Medical Genetics

Russian Federation, Kazan; Kazan

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Supplementary files

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2. Table 1. Distribution of patients by age and place of residence

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3. Table 2. Distribution of patients by type of defect and gender

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4. Table 3. Dependence of postoperative mortality on the value of pressure in the pulmonary artery

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5. Table 4. Distribution of operations in adult patients with CHD by nosological forms

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© 2001 Medvedev V.N., Kurmaev S.M., Kharitonov G.I., Sadekov R.F., Vagizov I.I.

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