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(Circulation. 1973;47:606.)
© 1973 American Heart Association, Inc.

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Pediatric Congenital Cardiac becomes a Postoperative Adult

The Changing Population of Congenital Heart Disease

JOSEPH K. PERLOFF M.D.¹

¹ From the Hospital of the University of Pennsylvania and the Section of Cardiology (Cardiovascular-Pulmonary Division), Department of Medicine, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania.

The following commentary on the changing population of congenital heart disease will deal with: incidence and survival patterns—an overview; effects of diagnostic and surgical interventions on survival patterns—changing population; ultimate goals and aspirations—what are we trying to accomplish?; types of surgical intervention—desirability of primary anatomic repair in infancy; and the problem of residua—setting the stage for future research.

Key Words: Congenital heart disease • Pulmonary hypertension • Ventricular hypertrophy • Ventriculotomy • Cardiac surgery • Myocardial hypoxia

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