RT Book, Section
A1 Wasnick, John D.
A1 Hillel, Zak
A1 Kramer, David
A1 Littwin, Sanford
A1 Nicoara, Alina
SR Print(0)
ID 8551193
T1 Chapter 12. Anesthesia for Patients with Congenital Heart Disease
T2 Cardiac Anesthesia and Transesophageal Echocardiography
YR 2011
FD 2011
PB The McGraw-Hill Companies
PP New York, NY
SN 978-0-07-171798-4
LK accessanesthesiology.mhmedical.com/content.aspx?aid=8551193
RD 2024/09/18
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.