TY - CHAP M1 - Book, Section TI - Chapter 12. Anesthesia for Patients with Congenital Heart Disease A1 - Wasnick, John D. A1 - Hillel, Zak A1 - Kramer, David A1 - Littwin, Sanford A1 - Nicoara, Alina Y1 - 2011 N1 - T2 - Cardiac Anesthesia and Transesophageal Echocardiography AB - The incidence of congenital heart defects is approximately 8 in 1000 births.1 Over the course of the past decades survival of children with congenital heart disease has improved. Today, adults can present following various cardiac surgical repairs, for routine general and obstetric anesthesia care. Unfortunately, the frequently multistaged surgical repairs necessary to improve survival in children often result in complications in adulthood. Knowledge of the anatomy of the original structural defect and the repairs undertaken is essential in the choice of appropriate monitoring and anesthetic techniques for otherwise routine procedures. Moreover, these patients may require heart surgery and/or cardiac transplantation later in life. This chapter highlights the anatomy and physiology of common congenital heart defects and outlines the repairs associated with them. In general, surgical repairs are directed at ensuring the delivery of oxygenated blood to the systemic tissues and eliminating communications between the right and left heart. Of course, for some congenital heart disease (CHD) patients the distinction of which is the right heart and which is the left heart may not be entirely clear. Consequently, when considering the CHD patient, tracing the flow of blood through the chambers of the heart into the circulation and back again provides the basis toward acquiring an understanding of CHD. SN - PB - The McGraw-Hill Companies CY - New York, NY Y2 - 2024/11/08 UR - accessanesthesiology.mhmedical.com/content.aspx?aid=8551193 ER -