医学
心脏病
儿科
疾病
围手术期
胎龄
心理干预
重症监护医学
新生儿学
怀孕
外科
心脏病学
内科学
护理部
遗传学
生物
作者
Reshma K. Reddy,Deani H McVadon,Sinai C. Zyblewski,Taufiek Konrad Rajab,Ellen Diego,W. Michael Southgate,Kristi L. Fogg,John M. Costello
出处
期刊:Neoreviews
[American Academy of Pediatrics]
日期:2022-07-01
卷期号:23 (7): e472-e485
被引量:7
标识
DOI:10.1542/neo.23-7-e472
摘要
Congenital heart disease (CHD) is the most commonly reported birth defect in newborns. Neonates with CHD are more likely to be born prematurely, and a higher proportion of preterm neonates have CHD than their term counterparts. The implications of preterm birth on the cardiac and noncardiac organ systems are vast and require special management considerations. The feasibility of surgical interventions in preterm neonates is frequently limited by patient size and delicacy of immature cardiac tissues. Thus, special care must be taken when considering the appropriate timing and type of cardiac intervention. Despite improvements in neonatal cardiac surgical outcomes, preterm and early term gestational ages and low birthweight remain important risk factors for in-hospital mortality. Understanding the risks of early delivery of neonates with prenatally diagnosed CHD may help guide perioperative management in neonates who are born preterm. In this review, we will describe the risks and benefits of early delivery, postnatal cardiac and noncardiac evaluation and management, surgical considerations, overall outcomes, and future directions regarding optimization of perinatal evaluation and management of fetuses and preterm and early term neonates with CHD.
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