Pediatric cardiac surgery in the 1990s.

Future developments in the repair of these complex anomalies will rely heavily on a complete understanding of present results, which can be achieved only with attention to detail and rigorous standards. Results must be continually updated and management changes carefully planned and then critically examined for significant differences. Thus, the day-to-day care of patients with congenital heart disease must withstand careful scrutiny, both for consistency and for end results.