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Korrektur häufiger komplexer angeborener Herzfehler

Surgery for common complex heart disease

  • Operative Techniken
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Zeitschrift für Herz-,Thorax- und Gefäßchirurgie Aims and scope

Zusammenfassung

Dieser zweite von insgesamt drei Übersichtsartikeln (Teil 1 Z Herz Thorax Gefäßchir 22:204–211) beabsichtigt, herzchirurgischen Facharztkandidaten die wichtigsten Fakten über die Behandlung häufiger komplexer angeborener Herzfehler zu vermitteln. Im Anschluss werden die morphologischen Charakteristika folgender Krankheitsbilder behandelt: Fallot-Tetralogie, Transposition der großen Arterien, Fehlabgang der linken Koronararterie und Linksherzobstruktionen. In der Regel ist eine biventrikuläre Korrektur möglich.

Abstract

This review is the second of three parts (first part Z Herz Thorax Gefäßchir 22:204–211) intended to describe congenital cardiac surgery mainly to cardiac surgeons in preparation for their boards. The physiology of selected congenital heart defects is elucidated together with the background for treatment. In addition symptoms, natural history, indication for surgery, surgical techniques, characteristic morphology and results are discussed. Whereas part one focused on ”simple“ defects with straightforward repair, this section describes more complex lesions which often require a more thorough preoperative assessment together with complicated surgical management. In general, a two-ventricle repair can be achieved. Focus is on tetralogy of Fallot, transposition of the great arteries, anomalous origin of the left coronary artery, and left ventricular outflow tract obstructions.

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Correspondence to B. Asfour.

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Prof. Dr. med. Boulos Asfour, Jahrgang 1960, erlangte seinen Facharzt für Herzchirurgie 1996. 1997 Research Fellowship an der Johns-Hopkins University, Baltimore, MD, 1999 Habilitation. Seit 2006 ist Boulos Asfour Chefarzt der Abteilung für Herz- und Thoraxchirurgie des Deutschen Kinderherz zentrums in Sankt Augustin.

Interessenkonflikt. Der korrespondierende Autor gibt an, dass kein Interessenkonflikt besteht.

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Asfour, B., Schreiber, C. Korrektur häufiger komplexer angeborener Herzfehler. Z Herz- Thorax- Gefäßchir 23, 17–22 (2009). https://doi.org/10.1007/s00398-009-0676-2

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