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1、CHAPTER59CONGENITALHEARTDISEASECharlesD.Fraser,Jr.,andKathleenE.Carberryaparentwasaskedtoserveasabiologicoxygenatorusingthehistoryandotherconsiderationstechniqueofcontrolledcross-circulation;soonthereafter,theanatomy,terminology,anddiagnosismechanical,extracorporeal,heart-lungbypasspumpwasdevel-per
2、ioperativecareoped.2,3Withtheaidofthisabilitytosupportthepatient’slesionoverviewcirculationduringintracardiacexploration,surgeonshavesingleventriclesequentiallyattackedalmosteverydescribedcongenitalcardiacmiscellaneousanomaliesanomaly.Theprospectofmeaningfulsurvivalforpatientsbornsummarywithotherwi
3、sedevastatingcongenitalcardiaclesionsisnowexpectedinmost,ifnotall,cases.Asaresultofthissuccessstory,thereisnowalargeandThischapterisdesignedtoprovidemedicalstudents,generalgrowingpopulationofadultswithrepairedorunrepairedCHD;surgeryresidents,andpracticinggeneralsurgeonswithaworkingestimatesintheUni
4、tedStatesfor2005placedthenumberoftooltoaidintheirunderstandingofthefeaturesofanatomyandadultpatientssurvivingwithrepairedorpalliatedcongenital4physiologyinpatientspresentingforgeneralsurgicalprocedurescardiaclesionsatmorethan1millionpersons.Thisrealityhasinthesettingofrepairedorunrepairedcongenital
5、cardiaclesions.beenassociatedwithnewchallengesintheongoingmedicalThelargescopeandbreadthoftheevolvingfieldofcongenitalmaintenanceofsuchpatients,withparticularfocusonthecareheartsurgeryprecludesanexhaustivetreatiseonallaspectsofofpatientswithcongenitalcardiaclesionspresentingforsurgerythisspecialty.
6、Severalexcellentandthoroughtextbooksofcon-fornoncardiacillnesses.TheevolvingsubspecialtyofadultCHDgenitalheartsurgerywillbereferencedinthischapter,andthepointstotheuniqueneedsofthispopulationofpatients.readerisencouragedtousethemforadditionalin-depthunder-standingofthelesionstobereviewed.Today’spra
7、cticinggeneralPATHWAYSFORPRACTICINGCONGENITALsurgeonneedstobewellversedinthebasicsofcardiacanatomy,HEARTSURGERYphysiology,andspecificderangementsassociatedwiththeBeforeembarkingonareviewofthefield,itisworth
