Surgery for congenital heart disease

  Surgery for congenital heart disease is the most common treatment for most congenital heart diseases. What are the surgical methods? Is the success rate of surgery high?  What are the indications for surgery for congenital heart disease?  1, all left to right shunt type of congenital heart disease (arteriovenous, atrial, ventricular, etc.) once the appearance of moderate pulmonary hypertension, regardless of age, should be operated as soon as possible, if the condition requires, the neonatal period can also be operated; 2, simple arteriovenous, atrial, ventricular, etc. without pulmonary hypertension, can wait until the age of 3-5 years old surgery; 3, patients with tetralogy of Fallot in the past, it is considered appropriate to operate at the age of 3-5 years old. However, in recent years, clinical and basic research has shown that the best time to operate is within 2 years of age, especially for patients with recurrent hypoxia, surgery can be performed within 1 year of age or even in the neonatal period; 4, patients with intact ventricular septum and large-vessel misalignment, if there is no pulmonary stenosis, must be operated within 4 weeks after birth; patients with atrial septal atresia are also suitable for surgery in the neonatal period; 5, patients who need to use the same For those who need to use the same kind of valve tube to perform corrective surgery, it is advisable to operate at the age of 3-4 years or above in China; however, in recent years, it is considered more favorable to operate in infancy; 6.  What are the surgical methods for congenital heart disease?  The surgical methods for congenital heart disease are determined by a combination of factors such as the type of heart malformation and the degree of pathophysiological changes, and can be divided into three categories: radical surgery, palliative surgery, and heart transplantation.  1. Radical surgery can be performed to correct anatomical or hemodynamic deformities and restore them to a normal state.  2, palliative surgery, can only play a role in improving the symptoms but can not play a radical effect, mainly used for complex precardiac disease where there is no radical cure, such as modified Glenn, Fontan surgery, or as a preparatory surgery to create conditions for radical surgery, such as body-lung bypass, central type palliative surgery.  3.Heart transplantation, mainly used for terminal heart disease and complex congenital heart disease that cannot be treated by current surgical methods.  The success rate of surgery for congenital heart disease?  The development of cardiac surgery must be determined by the comprehensive level of the surgical unit itself, and the success rate of surgery varies slightly from hospital to hospital. In our hospital, the Second Hospital of Wenzhou Medical College & Yuying Children’s Hospital, the overall success rate is over 97%, and the success rate of surgery for complex congenital heart disease and infants is significantly higher, which is at a more advanced level in China. We are also one of the few hospitals in China that can no longer worry about the small age and low weight of the child, depending on the condition of the child. At present, the overall success rate of surgery for precardiac disease in China is about 96-98%, and if surgery is performed before serious complications such as severe pulmonary hypertension and cerebral embolism occur, the long-term results for more than 95% of children are ideal.