الفهرس 
PULMONARY VASCULAR DISEASEOnly 14 pages are availabe for public view
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Abstract
GUCH patients are present among our population, but the exact percentage cannot be estimated properly. This is because of the presence of many centers for cardiac surgery, difference in facilities ,experience and rate of follow up in each center.
Clinical presentations in these cases included in our study were different from those in young age. Atrial fibrillation in GUCH patients is the main cause of rhythm disturbance. The use of anticoagulant treatment, antiarrythmic treatment and Sildenafil isn’t commonly used in pediatric cases.
Operations for GUCH cases in our study were done in the same techniques like those in pediatric cases. Apart from PDA ligation may be done on pump, because of other associated lesions, calcification or its large size.
Pulmonary artery pressure is an important risk factor in the outcome of cases in our study. The morbidity and mortality correlate with the severity of PAP. Pulmonary hypertensive crisis wasn’t noticed in GUCH patients in our thesis.
Surgery for CHD in the adult age is a safe, beneficial, and low-risk treatment that modifies the patient’s natural history by improving their clinical status. Correction of CHD in the adult age is often a special problem requiring expertise and experience to ensure good outcome.
Most congenital heart surgery should be performed by congenital heart surgeons. However, as most congenital heart surgeons are practicing in pediatric units and practice primarily in children, mixed units should be developed where pediatric cardiologists cooperate with adult cardiologists and where the pediatric cardiac surgeons can find proper facilities to treat adults with congenital hearts outside pediatric units.