Related Experiment Video

Updated: Feb 17, 2026

Implantation of Total Artificial Heart in Congenital Heart Disease
07:27

Implantation of Total Artificial Heart in Congenital Heart Disease

Published on: July 18, 2014

25.3K

Management of late presentation congenital heart disease

Parvathi U Iyer1, Guillermo E Moreno2, Luiz Fernando Caneo3

  • 11Paediatric Intensive Care Unit,Fortis Escorts Heart Institute,New Delhi,India.

Cardiology in the Young
|December 5, 2017
PubMed

Insights

Timely diagnosis and repair of congenital heart diseases (CHDs) are often unfeasible in low- and middle-income countries. Late presentation of CHDs creates complex challenges for surgical candidacy and perioperative care.

Area of Science:

  • Cardiology
  • Pediatric Surgery
  • Global Health

Background:

  • Timely diagnosis and repair of congenital heart diseases (CHDs) are often not feasible in low- and middle-income countries.
  • Economic development allows for cardiac units managing CHDs presenting later than ideal, missing early stabilization windows.
  • Late presentation can lead to organ dysfunction, pulmonary vascular disease, and sequelae of cyanosis and polycythaemia.

Purpose of the Study:

  • To highlight the challenges associated with late presentation of congenital heart diseases in resource-limited settings.
  • To discuss the clinical and ethical considerations in managing patients with late-presenting CHDs.
  • To inform strategies for surgical candidacy, operative planning, and intensive care for these complex cases.

Main Methods:

  • Review of clinical scenarios and outcomes for patients with late-presenting CHDs.
  • Analysis of challenges in decision-making regarding surgical intervention.
  • Examination of perioperative intensive care management in resource-constrained environments.

Main Results:

  • Late presentation of CHDs is common in low- and middle-income countries.
  • Patients often present with significant organ dysfunction and complications.
  • Decision-making regarding operability and surgical strategy is complex and ethically challenging.

Conclusions:

  • Late presentation of CHDs poses significant clinical and ethical challenges.
  • Effective management requires careful consideration of patient condition, surgical risks, and resource availability.
  • Improved strategies are needed for the timely diagnosis and management of CHDs globally.

Keywords:
Late diagnosiscyanosispolycythaemiapulmonary vascular disease

More Related Videos

Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery ALCAPA13:10

Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery ALCAPA

Published on: April 24, 2017

19.3K
A Modified Sonographic Algorithm for Image Acquisition in Life-Threatening Emergencies in the Critically Ill Newborn11:27

A Modified Sonographic Algorithm for Image Acquisition in Life-Threatening Emergencies in the Critically Ill Newborn

Published on: April 7, 2023

7.5K

Related Concept Videos

Cardiomyopathy III: Hypertrophic Cardiomyopathy01:29

Cardiomyopathy III: Hypertrophic Cardiomyopathy

Hypertrophic cardiomyopathy, or HCM, is an autosomal dominant genetic disorder characterized by asymmetric left ventricular hypertrophy without ventricular dilation. It is more common in men and is typically diagnosed in young, athletic adults.EtiologyHCM is primarily genetic and is caused by mutations in genes encoding sarcomeric proteins. Researchers have identified over 1400 mutations across at least 11 different genes. Among these, the most frequently occurring mutations are found in the...
539
Cardiomyopathy V: Interprofessional Care01:29

Cardiomyopathy V: Interprofessional Care

Managing cardiomyopathy involves addressing underlying or precipitating causes, treating heart failure with medications, and implementing dietary changes and a balanced exercise and rest regimen.Lifestyle ModificationsCardiomyopathy patients should adopt a low-sodium diet to reduce fluid retention and manage heart failure. A personalized exercise and rest plan helps maintain physical fitness without overstraining the heart. Avoiding alcohol and tobacco is essential to prevent further damage to...
489
Mitral Stenosis III: Medical Management01:26

Mitral Stenosis III: Medical Management

Mitral stenosis, a condition marked by the narrowing of the mitral valve, necessitates an integrated approach for effective management. This approach includes preventative measures, medical therapy, and surgical interventions to reduce symptoms and prevent complications.PreventionPrevention of mitral stenosis primarily focuses on reducing the incidence of bacterial infections, particularly streptococcal infections, which can lead to rheumatic fever and subsequent valvular damage. Timely...
319
Cardiomyopathy II: Dilated Cardiomyopathy01:30

Cardiomyopathy II: Dilated Cardiomyopathy

Dilated cardiomyopathy, or DCM, is a progressive myocardial disorder characterized by ventricular chamber dilation and contractile dysfunction.EtiologyVarious factors can cause DCM, including hypertension and heavy alcohol intake, which contribute to the weakening and enlargement of the heart muscle. Viral infections, such as Coxsackievirus B, adenoviruses, and influenza, can lead to DCM by causing inflammation and damage to heart tissue. Certain chemotherapeutic agents, including daunorubicin,...
605
Mitral Stenosis IV: Nursing Management01:27

Mitral Stenosis IV: Nursing Management

A comprehensive nursing assessment is essential for patients with valvular heart disease, which involves any dysfunction of the heart valves that could impact blood flow and overall heart function.Subjective Data Collection:Chief Complaint and Present Illness: Start with the patient's primary concerns, focusing on the onset, duration, and progression of cardiac symptoms such as dyspnea, fatigue, chest pain, and palpitations.Past Medical History: Collect detailed information on any previous...
300
Heart Failure V: Medical Management01:30

Heart Failure V: Medical Management

Medical Management of Acute Decompensated Heart Failure (ADHF)The primary goals of therapy for patients hospitalized with acute decompensated heart failure (ADHF) include:Relieving symptomsOptimizing volume statusSupporting oxygenation and ventilationMaintaining cardiac output (CO) and end-organ perfusionIdentifying and addressing the cause of ADHFPreventing complicationsProviding patient education on factors precipitating HF exacerbationPlanning for dischargeOngoing monitoring and assessment...
374