Faculty Collaboration Database

Preoperative Evaluation of Adult Congenital Heart Disease Patients for Non-cardiac Surgery. Curr Cardiol Rep 2018 Jul 21;20(9):76

Date

07/23/2018

Pubmed ID

30032387

DOI

10.1007/s11886-018-1016-5

Scopus ID

2-s2.0-85050389025 (requires institutional sign-in at Scopus site)   6 Citations

Abstract

PURPOSE OF REVIEW: Highlight the extracardiac comorbidities that adult congenital heart disease patients and summarize the current recommendations for non-cardiac surgery.

RECENT FINDINGS: Adult congenital heart disease patients are living longer, becoming more complex and developing adult comorbidities as they age. These patients have multiorgan involvement including higher prevalence of kidney disease and decreased lung function. Non-cardiac comorbidities can complicate surgery in this patient population. Most patients have non-cardiac surgery in community settings. These settings may increase adverse events during and in the post-operative period. Survival is improved when moderate and complex patients are seen in regional referral centers. Improved awareness of long-term complications of congenital heart disease and extracardiac comorbidities for adult congenital heart disease patients is needed. Appropriate care settings with both congenital heart disease expertise and adult subspecialty care reduces morbidity and mortality in these complex patients.

Author List

Gerardin JF, Earing MG

Author

Jennifer Gerardin MD Associate Professor in the Pediatrics department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Adult
Cardiac Surgical Procedures
Comorbidity
Heart Defects, Congenital
Humans
Postoperative Care
Postoperative Complications
Preoperative Care
Risk Factors