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Ann Thorac Surg 2009;87:847-848. doi:10.1016/j.athoracsur.2008.12.085
© 2009 The Society of Thoracic Surgeons
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Original Articles: Pediatric Cardiac

Invited Commentary

Kathleen N. Fenton, MD

International Children's Heart Foundation, Villa Loreto, Casa No. 6A, En Frente del Asilo de Ancianos, Las Colinas, Managua, Nicaragua

(Email: kathleennf@msn.com).

The first 20% of the full text of this article appears below.

The advent of fetal echocardiography rapidly confirmed what cardiac morphologists had long hypothesized in that some developing hearts start out normal in early gestation, and due to an intrauterine event that results in changed blood flow patterns, develop severe and uncorrectable defects develop by the time the child is born. As evidence for this has accumulated, it has brought a new challenge for congenital heart surgeons to address the problem of restoring normal blood flow pattern and hopefully normal growth in the fetus.

Early attempts at fetal bypass were technically successful but fatal (ie, the fetus died from respiratory acidosis due to placental dysfunction). This was subsequently found to result . . . [Full Text of this Article]


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Emily A. Heeb, R. Scott Baker, Christopher Lam, Mitali Basu, Walt Lubbers, Jodie Y. Duffy, and Pirooz Eghtesady
Ann. Thorac. Surg. 2009 87: 841-847. [Abstract] [Full Text] [PDF]





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