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Relevance. Congenital heart defects (CHD) as a cause of disability are in second place after central nervous system damage. The possibilities of modern medicine have significantly increased the survival rate of such children. A significant part of newborns with CHD survives to adulthood. The task is to provide such people with the highest possible quality of life, which is impossible without integral studies of the state of health in the remote postoperative period. Materials and methods. 12 children (6 girls and 6 boys) were operated on for aortic coarctation. Duration of observation 1-9 years (Me - 5.5). Results. Coarctation of the aorta was combined with other malformations (11/12): abnormalities of the aortic valve with moderate hemodynamic impairment (4/12), defects of the heart walls (5/12), open ductus arteriosus (4/12). A combination of vices has been reported. In the distant period, restlessness, difficulties in mastering the school curriculum, sleep disturbances, neurotic reactions, pituitary microadenoma, iron deficiency anemia, infantile anorexia were revealed. Often there were allergic reactions, abdominal pain, constipation, gastroesophageal reflux, impaired posture, malocclusion and tooth growth, hernia, and deformation of the feet. Conclusion. CHD is not an isolated defect in the structure of the heart, but the suffering of all tissues and structures of the heart (therefore, the term "chronic heart disease" is eligible). But at the same time, other body systems also suffer as a result of circulatory disorders and related conditions. Recommendations are given on improving care for children with CHD.

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Vasiliy M. Delyagin

Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology

Moscow, Russia


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