Noncardiac Surgery in the Congenital Heart Patient
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In brief
In brief
This article provides surgeons with essential guidance for managing pediatric patients with congenital heart disease undergoing noncardiac procedures. It covers preoperative risk assessment, anesthetic considerations, procedure-specific intraoperative strategies including laparoscopy and thoracic surgery, and postoperative complication prevention.
Written by the GCMD Library team from the article.
Publication date: Available online 18 January 2019
Source: Seminars in Pediatric Surgery
Author(s): Mercedes Pilkington, J. Craig Egan
Abstract
More children with congenital heart disease are surviving and require noncardiac surgery. A high-yield summary of congenital heart anatomy and pathophysiology is presented to contextualize these patients for surgeons. Preoperative planning including risk stratification, anesthetic management and timing of elective surgery are discussed. Specific intraoperative considerations for particular cases, such as the use of laparoscopy and thoracic surgery, are reviewed. Postoperative outcomes and recommended management required to mitigate complications are summarized.