Published in:
01-09-2018 | Congenital Heart Disease (RA Krasuski, Section Editor)
Preoperative Evaluation of Adult Congenital Heart Disease Patients for Non-cardiac Surgery
Authors:
Jennifer F. Gerardin, Michael G. Earing
Published in:
Current Cardiology Reports
|
Issue 9/2018
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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.
Summary
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.