CONGENITAL CARDIOVASCULAR-DISEASE AND CARDIAC-SURGERY IN CHILDHOOD .1. CYANOTIC CONGENITAL HEART-DEFECTS

The management of congenital heart disease is in a state of evolution, with earlier surgical and/or catheter interventions dominating clinic al decision-making. Recent advances in interventional cardiac catheter ization techniques, as well as continuing advances in the surgical man agement of complex congenital defects, continue to be the focus of att ention of cardiologists and surgeons. The majority of the papers revie wed document mid- and long-term results of specific operative procedur es for and address the appropriate role of cardiac catheterization tec hniques in the management of transposition of the great vessels, tetra logy of Fallot, total anomalous pulmonary venous connection, truncus a rteriosus, pulmonary atresia with intact ventricular septum, and the u niventricular heart. Early definitive intervention has become the stan dard of care for almost all defects reviewed.