4.5 Review

Cardiac surgery and congenital heart disease: reflections on a modern revolution

Journal

HEART
Volume 108, Issue 10, Pages 787-793

Publisher

BMJ PUBLISHING GROUP
DOI: 10.1136/heartjnl-2021-320148

Keywords

cardiac surgical procedures; heart defects; congenital; heart transplantation

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The success of cardiac surgery has greatly improved the survival rate of children with congenital heart disease. This article reviews the significant contributions made by British pioneers in this field and discusses the challenges for the future, particularly in managing and reducing the adverse sequelae of congenital cardiac surgery through safe innovation.
The success of cardiac surgery has transformed the prospects of children with congenital heart disease with over 90% now surviving to adulthood. The early pioneering surgeons took on significant risk, whilst current surgical practice emphasises safety and consistency. In this article we review important British contributions to the field and consider challenges for the future, specifically how to better manage and reduce the adverse sequelae of congenital cardiac surgery by continuing to innovate safely.

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