Recent advances in pediatric cardiology--electrophysiology, transcatheter and surgical advances.

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dc.contributor.authorRao, P Syamasundaren_US
dc.contributor.authorGupta, Monesha Len_US
dc.contributor.authorBalaji, Seshadrien_US
dc.date.accessioned2003-07-28en_US
dc.date.accessioned2009-05-30T16:44:49Z
dc.date.available2003-07-28en_US
dc.date.available2009-05-30T16:44:49Z
dc.date.issued2003-07-28en_US
dc.description.abstractWhereas the medical advances were reviewed in the previous paper, electrophysiological, transcatheter and surgical advances will be the focus in this review. Greater understanding of the arrhythmias, development of non-pharmacological treatment, namely catheter ablation and internal cardioverter-defibrillator (ICD) and miniaturization pacemakers and IDs have occurred in the last decade so that the methods could be applied to smaller and more complex patient population. Surgery has been the traditional treatment option for palliation and correction of congenital and acquired heart defects in infants and children. During the last one to one and one-half decades, a remarkable number of transcatheter methods were developed and refined. These developments during the last decade were reviewed and include long-term results of balloon dilatation procedures, transcatheter closure of atrial septal defects, patent ductus arteriosus, and ventricular septal defect, percutaneous valve replacement, intravascular stents to manage vascular obstructive lesions that can not be satisfactorily balloon-dilated, catheter completion of Fontan procedure, myocardial reduction in hypertrophic cardiomyopathy and other miscellaneous procedures. Recent advances in the transcatheter modes of therapy have added a new dimension to the management of neonates, infants and children with heart disease. They should now be added to the armamentarium available to the Pediatrician and Pediatric Cardiologist in the management of cardiac problems in the pediatric patient. Surgical methods and concepts have been greatly refined such that surgery can be undertaken even in the sickest and most complex patient. The majority of congenital heart defects can be corrected by open heart surgery; some require prior palliation and others can be operated without prior palliation. Recent advances in various defects were reviewed.en_US
dc.description.affiliationDivision of Pediatric Cardiology, Department of Pediatrics, University of Texas-Houston Medical School, Memorial Hermann Children's Hospital, Houston, Texas 77030, USA. P.Syamasundar.Rao@uth.tmc.eduen_US
dc.identifier.citationRao PS, Gupta ML, Balaji S. Recent advances in pediatric cardiology--electrophysiology, transcatheter and surgical advances. Indian Journal of Pediatrics. 2003 Jul; 70(7): 557-64en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/84859
dc.language.isoengen_US
dc.source.urihttps://medind.nic.in/icb/icbai.shtmlen_US
dc.subject.meshAngioplasty, Balloonen_US
dc.subject.meshCatheter Ablationen_US
dc.subject.meshChilden_US
dc.subject.meshChild, Preschoolen_US
dc.subject.meshElectrophysiologic Techniques, Cardiacen_US
dc.subject.meshFontan Procedureen_US
dc.subject.meshHeart Diseases --physiopathologyen_US
dc.subject.meshHeart Septal Defects, Atrial --therapyen_US
dc.subject.meshHeart Septal Defects, Ventricularen_US
dc.subject.meshHeart Ventricles --abnormalitiesen_US
dc.subject.meshHumansen_US
dc.subject.meshInfanten_US
dc.subject.meshProstheses and Implantsen_US
dc.subject.meshPulmonary Atresia --surgeryen_US
dc.subject.meshStentsen_US
dc.subject.meshTachycardia --therapyen_US
dc.subject.meshTricuspid Atresia --surgeryen_US
dc.titleRecent advances in pediatric cardiology--electrophysiology, transcatheter and surgical advances.en_US
dc.typeJournal Articleen_US
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