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The neonate with congenital heart disease: what the cardiac surgeon needs to know from the neonatologist and the cardiologist.

Jaquiss RD, Tweddell JS

Medical College of Wisconsin, 9000 West Wisconsin Avenue, MS 715, Milwaukee, WI 53221, USA. rjaquiss@chw.org

To plan and accomplish a successful operation for a neonate with congenital heart disease, the cardiac surgeon requires a complete anatomic description of the cardiovascular malformation. For optimum outcome, this information must be supplemented by a complete report of the prenatal and postnatal course of the newborn as well as by a thorough summary of any noncardiac congenital or acquired abnormalities. In the most favorable circumstance, the neonate arrives in the operating room completely diagnosed, fully resuscitated, well nourished, and with appropriate monitoring devices in place. Unique perioperative considerations attach to each cardiac anomaly and are briefly reviewed, and the importance of continuity of care for the patient and family is emphasized.

Published 5 December 2005 in Clin Perinatol, 32(4): 947-61, ix.
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