Table 3.
Congenital lesions and surgical priorities.
| For newborns | ||
|---|---|---|
| Emergent (in 24–48 hours) | Urgent (in 1–2 weeks) | Elective (beyond 2 weeks) |
| Obstructed TAPVR | TGA with IVS | TGA + VSD |
| Obstructed cor triatriatum | Symptomatic TOF | Stabile truncus arteriosus |
| TOF with spell | Ebstein resistant to medical therapy | HLVS |
| Coarctation unstable with PGE | Coarctation stable with PGE | |
| Aortic stenosis unstable with PGE | Aortic stenosis stable with PGE | |
| HLHS with restricted ASD | IVS + PA with PDA(stenting not possible) | |
| Shunt thrombosis | HLHS | |
| Shunt stenosis | ||
| For infants | ||
| Emergent (in 24–48 hours) | Urgent (in 1–2 weeks) | Elective (beyond 2 weeks) |
| Acute unstable aortic regurgitation | VSD + CHF resistant to medical therapy | VSD + CHF |
| Prosthetic valve thrombosis | TOF with spell (despite medical therapy) | TOF resistant to medical therapy |
| Shunt thrombosis | Shunt stenosis | AVSD + trisomy 21 + pulmonary blood overflow resistant to medical therapy requiring surgery |
| DCM resistant to medical therapy, restrictive CMP | Ebstein anomaly+ right heart failure | |
| Mitral insufficiency+CHF | ||
| Symptomatic aortic insufficiency + enlarged left ventricle/decrased LVEF | ||
| Symptomatic Aortis stenosis/LVOTO + decreased LVEF | ||
| RVOTO + impaired right ventricle functions | ||
| Despite shunting, increased cyanosis, or shunt stenosis in bi-directional cavopulmonary anastomosis candidates | ||