Perspektívák a veleszületett szívhibák felnottkori sebészi kezelésében

István Hartyánszky, Sándor Varga, Kálmán Havasi, Barna Babik, M. Katona, G. Bogáts

Research output: Article

5 Citations (Scopus)

Abstract

Due to improving results in congenital heart surgery, the number of adult patients with congenital heart defect is increasing. The question is: what kind of problems can be managed in this patient-group? The authors review the different problems of management of congenital heart defects in adults based on national and international literature data. Simple defects recognised in adults, postoperative residual problems, changing of small grafts and valves, correction of primary or operated coarctation aortae can be usually managed without problems. A very close follow-up is necessary to establish the correct period for heart transplantation in patients with transposition of great arteries with Senning/Mustard operation, and univentricular heart corrected with "Fontan-circulation" type surgical procedure. The authors conclude that although the number of patients increases, only a few congenital heart diseases may cause problems. It seems important (1) to monitor asymptomatic patient who underwent operation (Fallot-IV, Ross procedure, etc.), (2) follow up regularly patients who underwent Senning/Mustard procedure (magnetic resonance imaging, echocardiography, brain natriuretic peptide measurement), (3) define the proper period of preparation for heart transplantation of patients with a univentricular heart, with special attention to the possibility of multiorgan (lung, liver, etc.) failure. Due to the improvement of foetal diagnosis of congenital heart defects, the number of patients with complex congenital heart defects is decreasing. The standard management of these patients could be primary heart transplantation in infancy.

Original languageHungarian
Pages (from-to)92-97
Number of pages6
JournalOrvosi Hetilap
Volume156
Issue number3
DOIs
Publication statusPublished - jan. 1 2015

Fingerprint

Congenital Heart Defects
Heart Transplantation
Transposition of Great Vessels
Aortic Coarctation
Brain Natriuretic Peptide
Liver Failure
Thoracic Surgery
Echocardiography
Heart Diseases
Magnetic Resonance Imaging
Transplants
Lung
Arterial Switch Operation

Keywords

  • congenital heart defects in adults

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Perspektívák a veleszületett szívhibák felnottkori sebészi kezelésében. / Hartyánszky, István; Varga, Sándor; Havasi, Kálmán; Babik, Barna; Katona, M.; Bogáts, G.

In: Orvosi Hetilap, Vol. 156, No. 3, 01.01.2015, p. 92-97.

Research output: Article

Hartyánszky, István ; Varga, Sándor ; Havasi, Kálmán ; Babik, Barna ; Katona, M. ; Bogáts, G. / Perspektívák a veleszületett szívhibák felnottkori sebészi kezelésében. In: Orvosi Hetilap. 2015 ; Vol. 156, No. 3. pp. 92-97.
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