{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,10,30]],"date-time":"2023-10-30T10:21:07Z","timestamp":1698661267707},"reference-count":31,"publisher":"Akademiai Kiado Zrt.","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Orvosi Hetilap"],"published-print":{"date-parts":[[2015,1]]},"abstract":"Due to improving results in congenital heart surgery, the number of adult patients with congenital heart defect is increasing. The question is: what kind of problems can be managed in this patient-group? The authors review the different problems of management of congenital heart defects in adults based on national and international literature data. Simple defects recognised in adults, postoperative residual problems, changing of small grafts and valves, correction of primary or operated coarctation aortae can be usually managed without problems. A very close follow-up is necessary to establish the correct period for heart transplantation in patients with transposition of great arteries with Senning\/Mustard operation, and univentricular heart corrected with \u201cFontan-circulation\u201d type surgical procedure. The authors conclude that although the number of patients increases, only a few congenital heart diseases may cause problems. It seems important (1) to monitor asymptomatic patient who underwent operation (Fallot-IV, Ross procedure, etc.), (2) follow up regularly patients who underwent Senning\/Mustard procedure (magnetic resonance imaging, echocardiography, brain natriuretic peptide measurement), (3) define the proper period of preparation for heart transplantation of patients with a univentricular heart, with special attention to the possibility of multiorgan (lung, liver, etc.) failure. Due to the improvement of foetal diagnosis of congenital heart defects, the number of patients with complex congenital heart defects is decreasing. The standard management of these patients could be primary heart transplantation in infancy. Orv. Hetil., 2015, 156(3), 92\u201397.<\/jats:p>","DOI":"10.1556\/oh.2015.30072","type":"journal-article","created":{"date-parts":[[2015,1,11]],"date-time":"2015-01-11T02:01:15Z","timestamp":1420941675000},"page":"92-97","source":"Crossref","is-referenced-by-count":1,"title":["Perspectives in the management of congenital heart defects in adult patients"],"prefix":"10.1556","volume":"156","author":[{"given":"Istv\u00e1n","family":"Harty\u00e1nszky","sequence":"first","affiliation":[{"name":"Szegedi Tudom\u00e1nyegyetem, Szent-Gy\u00f6rgyi Albert Orvostudom\u00e1nyi K\u00f6zpont Kardiol\u00f3giai K\u00f6zpont, Sz\u00edvseb\u00e9szeti Oszt\u00e1ly Szeged P\u00e9csi \u00fat 6. 6720"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S\u00e1ndor","family":"Varga","sequence":"additional","affiliation":[{"name":"Szegedi Tudom\u00e1nyegyetem, Szent-Gy\u00f6rgyi Albert Orvostudom\u00e1nyi K\u00f6zpont Kardiol\u00f3giai K\u00f6zpont, Sz\u00edvseb\u00e9szeti Oszt\u00e1ly Szeged P\u00e9csi \u00fat 6. 6720"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K\u00e1lm\u00e1n","family":"Havasi","sequence":"additional","affiliation":[{"name":"Szegedi Tudom\u00e1nyegyetem, Szent-Gy\u00f6rgyi Albert Orvostudom\u00e1nyi K\u00f6zpont II. Belgy\u00f3gy\u00e1szati Klinika Szeged"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Barna","family":"Babik","sequence":"additional","affiliation":[{"name":"Szegedi Tudom\u00e1nyegyetem, Szent-Gy\u00f6rgyi Albert Orvostudom\u00e1nyi K\u00f6zpont Aneszteziol\u00f3giai \u00e9s Intenz\u00edv Ter\u00e1pi\u00e1s Int\u00e9zet Szeged"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M\u00e1rta","family":"Katona","sequence":"additional","affiliation":[{"name":"Szegedi Tudom\u00e1nyegyetem, Szent-Gy\u00f6rgyi Albert Orvostudom\u00e1nyi K\u00f6zpont Gyermekklinika Szeged"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G\u00e1bor","family":"Bog\u00e1ts","sequence":"additional","affiliation":[{"name":"Szegedi Tudom\u00e1nyegyetem, Szent-Gy\u00f6rgyi Albert Orvostudom\u00e1nyi K\u00f6zpont Kardiol\u00f3giai K\u00f6zpont, Sz\u00edvseb\u00e9szeti Oszt\u00e1ly Szeged P\u00e9csi \u00fat 6. 6720"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"425","reference":[{"key":"1","doi-asserted-by":"crossref","unstructured":"Hoffman, J. 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[Hungarian]"},{"key":"10","unstructured":"Harty\u00e1nszky, I.:<\/i> Right ventricular outflow tract late reconstruction in tetralogy of Fallot. [Jobbkamra-kifoly\u00e1si p\u00e1lya k\u00e9s\u0151i rekonstrukci\u00f3ja Fallot-tetralogi\u00e1ban.] Magyar Kardiol\u00f3gusok T\u00e1rsas\u00e1ga \u00e9s Magyar Gyermekgy\u00f3gy\u00e1sz T\u00e1rsas\u00e1g Gyermek Kardiol\u00f3giai Szekci\u00f3j\u00e1nak Tudom\u00e1nyos \u00dcl\u00e9se, M\u00e1trah\u00e1za, 2012. [Hungarian]"},{"key":"11","doi-asserted-by":"crossref","unstructured":"Frigiola, A., Giamberti, A., Chessa, M., et al.:<\/i> Right ventricular restoration during pulmonary valve implantation in adults with congenital heart disease. Eur. J. Cardiothorac. 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S., Nersesian, M., Mussatto, K. A., et al.:<\/i> Fontan palliation in the modern era: factors impacting mortality and morbidity. Ann. Thorac. Surg., 2009, 88<\/i>(4), 1291\u20131299.","DOI":"10.1016\/j.athoracsur.2009.05.076"},{"key":"20","doi-asserted-by":"crossref","unstructured":"Khairy, P., Fernandes, S. M., Mayer, J. E. Jr., et al.:<\/i> Long-term survival, modes of death, and predictors of mortality in patients with Fontan surgery. Circulation, 2008, 117<\/i>(1), 85\u201392.","DOI":"10.1161\/CIRCULATIONAHA.107.738559"},{"key":"21","unstructured":"Delmo Walter, E. M., Hetzer, R.:<\/i> Surgical treatment concepts for end-stage congenital heart diseases. HSR Proc. Intensive Care Cardiovasc. Anesth., 2013, 5<\/i>(2), 81\u201384."},{"key":"22","doi-asserted-by":"crossref","unstructured":"Jayakumar, K. A., Addonizio, L. J., Kichuk-Chrisant, M. R., et al.:<\/i> Cardiac transplantation after the Fontan or Glenn procedure. J. Am. Coll. 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