Cyanotic heart defect surgery

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Cyanotic heart defect Microchapters

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor-in-Chief: Keri Shafer, M.D. [2]

Overview

Surgery

The treatment of choice for most congenital heart diseases is surgery to repair the defect. There are many types of surgery, depending on the kind of birth defect. Surgery may be needed soon after birth, or it may be delayed for months or even years.

Your child may need to take water pills (diuretics) and other heart medicines before or after surgery. Be sure to follow the correct dosage. Regular follow-up with your doctor is important.

Many children who have had heart surgery must take antibiotics before, and sometimes after having any dental work or other medical procedures. Make sure you have clear instructions from your child's heart doctor. It is very important to have your child's teeth cleaned regularly.

Surgery and Device Based Therapy

Some infants may need to stay in the hospital after birth so they can receive oxygen or be put on a breathing machine.

The treatment of choice for most congenital heart diseases is surgery to repair the defect. There are many types of surgery, depending on the kind of birth defect. Surgery may be needed soon after birth, or it may be delayed for months or even years.

Phlebotomy

Indications:

  • Symptomatic hyperviscosity:Hematocrit > 0.65 excluding dehydration as the cause
  • If symptoms are present in Hematocrit < 0.65 (suspect iron deficiency )

Phlebotomy can itself cause rebound iron deficiency which causes increased viscosity, thus increases the risk of stroke.

Pre-Operative Assessment

The infant may be put on diuretics.

Post-Operative Management

The infant may be put on diuretics.

References


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