The timing of surgery for non-cyanotic pediatric congenital heart disease The types of pediatric congenital heart disease are complex and can be broadly divided into cyanotic congenital heart disease and non-cyanotic congenital heart disease, due to the complexity of the condition, diagnosis is often misdiagnosed, making it difficult to treat, the timing of surgery for different types of congenital heart disease varies from hospital to hospital, coupled with the lack of basic treatment knowledge of some children’s families, not timely consultation, so that some originally relatively simple The best time for treatment is lost due to the delay of some relatively simple precocious diseases, resulting in aggravation of the disease or even death. The author has seen many children with relatively simple ventricular septal defects, which were not timely and led to irreversible pulmonary hypertension and lost the opportunity for surgery, which is extremely distressing. 1. So, how to consult the doctor for precordial disease? When is the best time to operate? This is a complicated issue, so let’s talk about when to seek medical advice first! With the development of society and the progress of medical conditions, the prevention and treatment of precocious heart disease is progressing rapidly. It is very important for the families of many children with precocious heart disease to have a positive mindset and do their best to treat their children. It is recommended that the child must be seen at the hospital as early as possible, starting with a heart ultrasound, ECG, chest X-ray and other tests to clarify the disease type. Choose different optimal treatment timing according to the disease in order to obtain the best treatment effect. 2.Secondly, let’s talk about the timing of surgery for the most common and also the best treatment effect of non-cyanotic precocious heart disease in clinical practice! The most common non-cyanotic congenital heart disease such as arteriovenous ductus arteriosus, ventricular septal defect, atrial septal defect, the timing of surgery depends on the size of the defect, if the defect is large, left-to-right shunt flow, severe pulmonary congestion, frequent heart failure, pneumonia and other complications, early surgery should be treated. There is no need to consider the age and weight of the child, and early surgical treatment is required. Of course, it also depends on the level of treatment at the hospital where the child is seen. Generally speaking, specialized hospitals that treat pediatric precardiac disease can perform surgery when needed, regardless of the child’s age and weight, and as soon as needed. When these children pass through infancy, they are less likely to develop pneumonia and heart failure as they grow older and their resistance increases. However, for these children with congenital heart disease with increased pulmonary blood, if surgery is not performed in time, as the disease progresses, the pulmonary artery pressure and right heart pressure increase continuously, the child’s left-to-right shunt decreases, pulmonary congestion decreases, and when upper sensation, pneumonia and heart failure do not occur, many parents often think that the disease is reduced for further treatment, which is leading to further deterioration. When there is a two-way shunt, surgery is extremely risky. When there is a right-to-left shunt, the lips and mouth become blue, clinically known as cyanosis, it is in the advanced stage, called Eisenmenger’s syndrome, at which time the opportunity for surgery is lost, and the only thing that can be done is heart-lung transplantation or lung transplantation.