The Role of Palliative Care in Cardiothoracic Surgery
Palliative care in cardiothoracic surgery is as varied as the various anatomical entities covered by this discipline. Therefore, the application of palliative approach does not follow a uniform pattern. Palliation in congenital cardiac disorders aims at a partial anatomical as well as physiological relief in early childhood which would act as a stepping stone to more definitive future corrections. At times such palliation facilitates structural modifications that pave way for subsequent corrective procedures. Likewise, in the case of failing hearts among adults, palliation may assist as a bridge to successful transplantation. The meaning of palliation changes when it comes to providing symptomatic relief in case of advanced malignant afflictions of the esophagus or the lungs. Here, the aim is to offer freedom from pain and misery, and a lease of improved albeit temporary quality of life. This chapter briefly touches upon the history of palliation in cardiac surgery and presents an abridged but comprehensive account of various palliative modalities.
KeywordsPulmonary Artery Hypoplastic Left Heart Syndrome Cardiothoracic Surgery Pulmonary Metastasectomy Cardiothoracic Surgeon