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Intensivtherapie in der Kinderherzchirurgie

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Herzchirurgie
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Zusammenfassung

Die Anforderungen an die kinderherzchirurgische Intensivmedizin haben in den vergangenen Jahren durch Fortschritte in der pädiatrischen Kardiologie und Kinderherzchirurgie weiter zugenommen. Nachdem die neonatale Korrekturoperation auch komplexer angeborener Herzfehler etabliert wurde und kombinierte chirurgisch-katheterinterventionelle Behandlungskonzepte entwickelt wurden, erweiterte sich das Spektrum der zu behandelnden Patienten zum einen um Neugeborene mit geringem Geburtsgewicht und zum anderen um Erwachsene mit angeborenem Herzfehler nach vorangegangenen Palliations-oder Korrekturoperationen. Im gleichen Zeitraum ist die perioperative Mortalität erheblich gesunken. Zudem erreicht eine kontinuierlich wachsende Patientengruppe nach Korrektur oder Palliation auch komplexer angeborener Herzfehler im Kindesalter jetzt das Erwachsenenalter. Die chirurgische Behandlung von Patienten mit angeborenen Herzfehlern setzt daher eine intensive Zusammenarbeit der in der Chirurgie angeborener Herzfehler tätigen Herzchirurgen mit pädiatrischen und Erwachsenenkardiologen voraus.

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Kaulitz, R., Ziemer, G. (2010). Intensivtherapie in der Kinderherzchirurgie. In: Herzchirurgie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-79713-5_8

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