The progress achieved in the last decades in pediatric cardiology results in a significant decrease in mortality due to congenital heart disease (CHD). In Romania there are no specific data concerning this subject. The authors present a three year experience of a single pediatric cardiovascular center regarding epidemiology, diagnosis and therapy of patients with critical CHD, in a prospective study. The results show a significant percentage of critical CHD ( aprox. 20%), with a mean age at diagnosis of 23.6 days. The number of patients undergoing surgical treatment and the results of therapy highlight the need of early diagnosis and timely refferal for surgical treatment. Conclusion: Critical CHD represent an important part of the pathology of a pediatric cardiovascular center. Nowadays, late age of referral worsens the prognostic of this patients. The necessity of establishing a coherent strategy emerges, in order to offer these children a chance.
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