In the classification of congenital heart disease, simple precocious heart accounts for more than 80% of the total proportion, and the main types are: atrial septal defect, ventricular septal defect, patent ductus arteriosus, pulmonary valve stenosis, etc. For the treatment of congenital heart disease, the consideration of age factor is one aspect, but more importantly, it is a comprehensive consideration based on the type of lesion, the development of the disease and the impact on the developmental status of the child. In this issue, it is important to follow the advice of a specialist. At present, the treatment of congenital heart disease in the cardiothoracic and vascular surgery department of Shanxi Children’s Hospital clinically mainly has the following 3 ways: 1. Surgical open-heart surgery: the main means of treatment Traditional surgical open-heart surgery treatment is the main treatment, which is generally applicable to all simple congenital heart disease and complex congenital heart disease (such as: congenital heart disease with combined pulmonary hypertension, tetralogy of Fallot and other heart diseases with cyanosis The procedure is usually performed for all simple congenital heart diseases and complex congenital heart diseases (e.g., congenital heart disease with pulmonary hypertension, tetralogy of Fallot and other heart diseases with cyanosis). Compared with other surgical procedures, open-heart surgery is less expensive and the hospital stay is about 7-10 days, but the surgery is more traumatic and the postoperative recovery is slower than other procedures. At present, Shanxi Children’s Hospital has performed cardiac surgery on more than 3,000 children with congenital heart disease, including various congenital heart diseases. In the past 3 years, surgery for congenital heart disease under 6 months of age accounts for 25% of the annual number of surgical cases, of which the youngest is 15 days after birth and weighs 2 kg. The total surgical success rate has reached 98%. 2.Interventional treatment: small trauma and strict indications Interventional treatment is a new type of minimally invasive treatment developed in recent years, which relies on complete equipment, advanced catheterization laboratory and skilled specialist physicians, and is mainly applicable to arteriovenous catheter failure, atrial septal defect, partial ventricular septal defect, pulmonary valve stenosis and two or more of the above compound diseases. Interventional treatment has fewer complications, less trauma, no open-heart surgery, faster recovery, less pain for patients, and a hospital stay of about 3 days, but it has stricter indications and some diseases are more expensive than surgical procedures. Of course, as medical technology becomes more mature, the indications for interventional blocking will be further expanded. At present, the cardiothoracic and vascular surgery department of Shanxi Children’s Hospital has performed interventional treatment for more than 300 children with precocious heart disease, and the success rate has reached 100%. Minimally invasive surgical occlusion: combination of surgery and intervention Minimally invasive surgical occlusion is also a new technique that has emerged in the past two years. It does not require opening the chest, but a small 2-3 cm incision in the right anterior sternum, placing a pusher and releasing the occluder to plug the gap under the guidance of cardiac ultrasound. The average operation time is less than 1 hour, and the patient is able to go down to the floor on the same day of the operation and is hospitalized for 3-4 days. It is indicated for patients with partial atrial septal defect, ventricular septal defect and patent ductus arteriosus. The respective characteristics of surgical open-heart surgery, interventional treatment and surgical minimally invasive blocking surgery for congenital heart disease in infants are as above, which can be flexibly applied in the treatment of congenital heart disease according to the specific situation. The timing of surgery After the diagnosis of congenital heart disease, some parents think that their children are too young to withstand the trauma of surgery and it is safer to wait until the children are older to perform surgery, thus delaying the disease and losing the opportunity of surgery, resulting in lifelong regret. With the development of modern medical technology, the operation time of heart disease can not be determined by the size of the age, but should be based on the specific condition of the patient, especially some complex congenital heart disease, for these children life and treatment time is calculated in “hours”, such as complete transposition of the great arteries, must be operated after birth, otherwise the child will Otherwise, the child will die suddenly or lose the opportunity for corrective surgery. In addition to complex congenital heart disease such as complete transposition of the great arteries, some children’s lives are measured in months, such as those with large ventricular septal defects, if surgery is not performed in time, the child’s development will be affected by recurrent heart failure and lung infections, and severe pulmonary hypertension will occur, and the opportunity for surgery will be lost. In addition, in children with tetralogy of Fallot, severe hypoxia can affect the function of the child’s vital organs, and even a single severe hypoxic episode can endanger the child’s life, and only about 10% of them can grow up to be healthy above the age of 10. In addition, some diseases affect children in terms of “years”, such as ventricular septal defect and atrial septal defect with a diameter of 0.5 cm or less, which have a small impact on the growth and development of children and can be observed regularly and treated by surgery at a later date according to the growth and development of the child and the disease. For whether to operate and the timing of surgery, it is especially recommended: you can visit the cardiothoracic and vascular surgery department of Shanxi Children’s Hospital and listen to the specialist’s opinion so as not to miss the opportunity of surgery.