We sometimes forget that modern Heart Surgery is relatively new specialty because of its constant innovation. Heart surgery has quickly advanced in the following decades. The development of the heart and great vessels before and after birth is somewhat dependent upon blood flow patterns. Irregular blood flow patterns can cause too little growth or too much growth of the heart halls and valves.

Lately, the latest development concerns children with heart failure. It was not potential to do a heart surgery in young babies because today, neonatal heart surgery could almost be called ordinary. Our better capability to treat small babies with heart imperfections can be attributed to a variety of medical progress. Advances in many fields are now worked as one to allow us to perform compound surgery in the first days of life. We must have a goal to save the child’s life, allow best growth and development of the heart, great vessels, lungs, and brain. Babies with congenital imperfections that need neonatal repair are seriously unwell, but operation often allows better outcome. It is good news that the increasing ease of use and correctness of prenatal echocardiography will add to better preoperative management and better long-term results, and that this analytic equipment may one day allow involvement before delivery, so that we can save the lives of even more children.