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January 1974

The Management of Neonates and Infants With Congenital Heart Disease.

Arch Surg. 1974;108(1):127. doi:10.1001/archsurg.1974.01350250113039

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This monograph is an attempt to categorize congenital lesions which occur in the neonate and to describe the available approaches to management of those lesions. No attempt was made by the authors to offer a classic textbook of congenital heart disease. As a result, there is a paucity of physical findings, electrocardiograms, radiographs, or descriptions of surgical technique. In addition, those lesions covered are discussed only during the early years. There is little discussion of later problems and management except as it affects management decisions in the neonatal period.

The introductory chapters provide a brief, well organized, and useful schema for the clinical approach to congestive heart failure and cyanosis. The discussions of anesthetic and respiratory management are of limited value in this format. The recommendations made are not universally accepted.

Subsequent chapters on specific malformations are orderly in presentation and include the salient issues. Controversy exists in management of

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