Torner-Soler M
Dpto. de Cardiología, Hospital de la Sta. Cruz y San Pablo, Barcelona.
Rev Port Cardiol. 1993 Oct;12(10):811-6, 803.
Due to the continual progress being made in the surgical treatment of congenital heart diseases, very few symptomatic cardiac malformations can not now benefit from surgery, or more recently, from interventional catheterization. The result of such progress has led to an extraordinary change in survival patterns of congenital heart disease. With few exceptions, heart surgery is not curative. Residua and sequelae are the rule, and impose important medical, and sometimes surgical problems in the follow-up. Adequate control of this growing population is not easy within most of our adult cardiological departments. Adult patients with congenital heart disease represent a new area of cardiovascular interest.
由于先天性心脏病外科治疗的不断进步,目前很少有有症状的心脏畸形无法从手术中获益,或者更近一些,从介入导管治疗中获益。这种进步的结果导致了先天性心脏病生存模式的非凡变化。几乎无一例外,心脏手术并非治愈性的。残留病变和后遗症是常态,并在随访中带来重要的医学问题,有时还会带来手术问题。在我们大多数成人心脏病科室中,对这一不断增长的患者群体进行充分管理并非易事。患有先天性心脏病的成年患者代表了心血管领域一个新的关注领域。