What today do heart surgery?

But even here, the diagnosis is and the doctors understand what to do next. We would at this point very much aware of what discussion, if you will explain everything in detail, the study, diagnosis, you have to do, and like to choose when is the best type of treatment.

 Here and now, the main problems are solved, and you must be very precise idea of ​​what you want to know before you make your decision on which much depends.

 Call options can be few.
 A. It is an operation offered the only way out, and the doctors think that it must be done urgently.
 Second Before the surgery, but they say that they are set aside.
 Third She refused surgery for a variety of reasons.
 You need to understand what it is about, and prepare for an interview. Try to be calm and confident in themselves and for doctors who want to help you. You have to be together on the same side, fighting for the future of the child. Discuss, but your questions should read and write. Believe me, that depends on this too much.
 About what should be trusted to make right? What are the operations? What you need to make a baby? How does all this happen? Who will do it? Let's talk about it calmly.

"Closed" operation "open" and "endovascular": Today, all interventions or surgery for congenital heart defects are classified into three categories.
"Closed" mode - a surgical procedure in which the heart itself is not affected. They run out of it, and therefore do not require any special equipment other than the usual surgical instruments. Cavities of the heart, if they are not "open", so they are called - the "closed" and is performed as the first stage of the operation.

"Open" operation - a surgical procedure in which the need to open the heart cavity to remove the stigma. To do this, use a special device - a heart-lung machine (AIC) or "heart-lung". Operations for the period, and the heart and the lungs from the circulation, and the surgeon is able to perform an operation on the so-called "dry", arrested heart.
Whole venous blood is sent to the patient unit, where saturated by "oxygenator" (artificial lung), oxygen and carbon dioxide is, turning into the arterial. Arterial blood is then pumped into the aorta patient, ie the systemic circulation. Modern technologies allow any internal part of the device (including "oxygenator"), which affects the blood of the patient to provide a "one-off", ie, they use only once and only for a patient. This reduces the number of possible complications.
Today, thanks AIKU without risk from the heart and lungs of work for a few hours (and the surgeon the ability to handle the most complex defects) possible.

Endovascular surgery is relatively new, but thanks to the incredible advances of modern technology, has a worthy place in the arsenal of acquired heart surgery. Today, more and more doctors with thin catheters (folded, like an umbrella) to the ends of cans, patches or pipe sealing machines are mounted. Zoom in using these devices to hold the catheter in the cavity of the heart, or into the lumen of the vessel, and then expanded spray, fracture pressure narrowed valve, or to create or septal defect, on the contrary, patch opening umbrella, this defect is closed . Injected into the lumen of the tube suitable vessel and a wide gap. In adults, this even trying to push through the catheter artificial aortic valve, but it is only the attempt. In the course of endovascular surgery, doctors monitor on the monitor, and control all the clear manipulation of the probe, so that the advantage of such operations - not only less traumatic, but the high level of security and efficiency. Radiologists are not yet replaced traditional surgical methods, but it takes more and more space, and as an independent method, and as a "helper", ie that such applications do not. In place, and with the usual operation, often greatly simplified by expanding it

Depending on the type of defect and the child's condition, surgery may be urgent, urgent and elective, that is planned.Emergency operations - are the ones that should be done immediately after the diagnosis, since any delay threatens the life of the child. In birth defects such situations - are not uncommon, especially when it comes to children. It is often decide a question of life, hours and minutes.Emergency surgery - those for whom it like a mad urgency. The operation should not be done in a minute, and you can certainly wait a few days to prepare, and you and the child, but it must be done urgently, because later it may be too late.Planned or elective, surgery - made the intervention in the selected surgeons and time, if the child does not inspire fear not, but the operation is not worth delaying.Neither cardiac surgeon never ask an operation if they can be avoided. Should be at least.

To vary depending on the approach to surgical treatment radical and palliative surgery.
Radical surgery - this correction, the remedy the default. It may arteriosus with patent ductus, septal defect, complete transposition of the great vessels, anomalous pulmonary venous drainage, atrioventricular communication, tetralogy of Fallot and other vices, in which half of the heart is fully formed, and the surgeon can fully share in the systemic circulation, maintenance of normal anatomy. Ie atrium properly connect to your ventricles through the positioning of the valve, and exits from the ventricles related great arteries.

Palliative surgery - "facilitate" helper, wants to normalize or improve blood circulation and prepares the bloodstream to the radical correction. Palliative measures do not eliminate the disease, but significantly improve the condition of the child. With some very complex defects, which until recently were generally unusable, the child, and sometimes - two palliative surgery before it is possible to carry out the final phase of a radical.

While palliative surgery surgically created other "vices", originally not a child, but because., Who changed the way the broken vice blood flow in the large and small circles They include the extension of surgical atrial septal defect, all options mezhsosudistyh anastomoses - ie additional shunt, messages between the circles. Fontan operation - the "radical" all these methods after the person lives, without the right ventricle at all. With some of the most complex heart defect can not be repaired anatomically, and surgical treatment to correct the flow of blood may be "final" palliative correction, but not a radical surgery.

In other words, heart defects, when intracardiac anatomy - the structure of the chambers, the state of the atrioventricular valves, the position of the aorta and pulmonary trunk - changed so much that it does not allow radical correction of today's surgery is on the way, as early eliminate possible bad compliant life circulatory problems, and then - long palliatsii. The first phase of the road - it's rescue and preparation for further treatment and protection from future complications, the second - the final stage of treatment. All together - it's a long way to the final operation, and it is a must, two, sometimes three steps can be overcome, but in the end, so that the child is healthy enough to get it developed, tested and led a normal life, that this long-term palliatsiya he provide. Check that not so long ago - 20 - 25 years, it was simply impossible, and children were born with malformations of the group to fail.

This "final palliatsiya" is the only option in many cases it is, although it is not the defect itself, but provides a near-normal life of a child by improving the flow mixing of arterial and venous blood, the complete separation of communities, the elimination of obstacles to the flow of blood.
Obviously, the notion of a radical and palliative treatment of some complex congenital heart disease is largely arbitrary, and the limits - deleted.