Cardiac Surgery in Children with Congenital Heart Disease

Understanding Congenital Heart Disease and Surgical Timing
CHD is one of the most common congenital anomalies, affecting approximately 12 to 14 per 1,000 live births. The optimal timing of surgery depends on the severity of the condition and associated risks. Delayed intervention can lead to irreversible complications such as ventricular dysfunction, pulmonary hypertension, and inoperability.

Key Findings from the Study

  • Atrial Septal Defect (ASD): Ideal closure time is between 2-4 years old.
  • Ventricular Septal Defect (VSD): Large defects should be closed within the first year to prevent pulmonary vascular disease.
  • Patent Ductus Arteriosus (PDA): Early closure by 3-6 months is recommended in cases of significant heart failure.
  • Coarctation of the Aorta: Immediate intervention is required in severe cases, whereas mild cases may wait until 1-2 years old.
  • Tetralogy of Fallot (TOF): Complete repair should ideally occur between 1-2 years of age.

Addressing the Challenges of Late Surgical Intervention
In developing countries, late surgical intervention is often due to delayed diagnosis, financial constraints, and lack of facilities. Raising awareness and improving healthcare access can mitigate these issues.

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