J.Jpn. Surg. Soc.. 112(4): 240-244, 2011

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Feature topic

SURGICAL STRATEGY AND TREATMENT FOR PEDIATRIC SURGICAL DISEASES ACCOMPANIED WITH CONGENITAL HEART DISEASES

Advances in perinatal care in recent years have resulted in improved outcomes in both pediatric diseases treated surgically and congenital heart disease. However, aggressive surgical treatment is sometimes not performed because of a lack of knowledge of cardiac and pediatric surgeons. Lives may be saved if current pediatric surgical and pediatric cardiovascular surgical skills are combined. In complicated cases, a medical team is formed in our institution consisting of representatives of various departments, and the best treatment strategy tailored for individual patients is determined. We have treated 17 patients under this system, and 12 including 2 patients who had both severe pediatric diseases requiring surgery and congenital heart disease survived without major complications. Two patients died due to intestinal ischemia after cardiac surgery. To improve the survival rate of complicated cases, early detection or prevention of intestinal ischemia is required.

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