TY - JOUR
T1 - Anesthetic and perioperative care of high-risk adults with congenital heart disease
T2 - Managing ventricular dysfunction and minimal reserve
AU - Maxwell, Bryan G.
AU - Eberhardt, Kara J.
N1 - Publisher Copyright:
© 2014 Elsevier Ireland Ltd.
PY - 2014
Y1 - 2014
N2 - The number of adults with congenital heart disease has increased dramatically in recent years owing to advances in the surgical and medical care of pediatric congenital heart disease, and these patients present with increasing frequency for both cardiac and non-cardiac surgical interventions. By adulthood, many demonstrate varying degrees of ventricular dysfunction and are at high risk for perioperative morbidity and mortality. Due to their limited cardiopulmonary reserve, physiologic insults are poorly tolerated and must be minimized throughout the perioperative period. An understanding of the altered cardiopulmonary physiology, unique complications, and overarching management goals for ACHD patients will allow anesthesiologists to coordinate optimal perioperative care for this challenging patient population.
AB - The number of adults with congenital heart disease has increased dramatically in recent years owing to advances in the surgical and medical care of pediatric congenital heart disease, and these patients present with increasing frequency for both cardiac and non-cardiac surgical interventions. By adulthood, many demonstrate varying degrees of ventricular dysfunction and are at high risk for perioperative morbidity and mortality. Due to their limited cardiopulmonary reserve, physiologic insults are poorly tolerated and must be minimized throughout the perioperative period. An understanding of the altered cardiopulmonary physiology, unique complications, and overarching management goals for ACHD patients will allow anesthesiologists to coordinate optimal perioperative care for this challenging patient population.
KW - Adult congenital heart disease
KW - Anesthesia
KW - Perioperative cardiac arrest
KW - Ventricular dysfunction
UR - http://www.scopus.com/inward/record.url?scp=84933673219&partnerID=8YFLogxK
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U2 - 10.1016/j.ppedcard.2014.12.005
DO - 10.1016/j.ppedcard.2014.12.005
M3 - Review article
AN - SCOPUS:84933673219
SN - 1058-9813
VL - 38
SP - 17
EP - 21
JO - Progress in Pediatric Cardiology
JF - Progress in Pediatric Cardiology
IS - 1-2
ER -