THE DEVELOPMENT OF CHRONIC HEART FAILURE IN CHILDREN WITH BREAST CANCER AFTER SURGICAL CORRECTION: DIAGNOSTIC ISSUES AND PROGNOSTIC FEATURES

Abstract:

Ventricular septal defect (IVD) is one of the most common congenital heart defects in children. Despite the success in surgical correction of breast cancer, some patients face the development of chronic heart failure (CHF) in the postoperative period. The article discusses the pathogenetic mechanisms of CHF formation after correction of VMI, highlights the main diagnostic criteria and prognostic factors that are important for optimizing follow-up and therapy. Children who underwent IVF correction before the age of 1 year are more likely to show signs of chronic heart failure, which is associated with myocardial immaturity and severe hemodynamic overload at an early age. In the absence of urgent indications, the optimal time for surgical intervention may be considered to be closer to 1 year of age, which helps to reduce the risk of postoperative CHF and improve the prognosis.