Jane Somerville
Imperial college London, UK
Title: The prenatal diagnosis of congenital heart defects
Biography
Biography: Jane Somerville
Abstract
95%of infants born with abnormalities of the cardiovascular system should reach adulthood, mainly due to surgical skills perfected over 60years together with the development of pediatric cardiology, anesthesia, intervention, intensive care and refined imaging techniques. Best Medical care and support must be continued beyond pediatrics.
The needs of these grown up congenital heart patients[GUCHS] are many medical for arrhythmia, heart failure , Endocarditis ,symptomatic deterioration ,increasing cyanosis, further cardiac surgery and/or intervention, surgery outside the heart and special care and advice in relation to pregnancy and disease in other systems. In addition, informed advice for life style issues and needs is required as part of specialized unit.
The most “at risk†conditions are the named operations, any condition with atresia, transposition, malposition absence, single or common in title, childhood valve replacements, and Coarctation.
Establishing best National medical care is difficult, obstructed by doctors, finance, management and “vested “interests. Overcoming them is possible and easiest in small countries with state funded health services.