Michela Palma, Giancarlo Scognamiglio*, Flavia Fusco, Assunta Merola, Anna Correra, Diego Colonna, Emanuele Romeo, Berardo Sarubbi
Congenital Heart Disease, Vol.15, No.1, pp. 33-49, 2020, DOI:10.32604/CHD.2020.011523
Abstract Adults with congenital heart disease (ACHD) constitute a growing
population with complex cardiac physiopathology and frequent extra-cardiac
involvement. The recent dramatic improvement of their life expectancy has
resulted in an increasing proportion of ACHD patients requiring non-cardiac
surgery. While a large body of evidence demonstrated the importance of an
accurate risk assessment in patients with acquired heart disease before noncardiac surgery in order to reduce perioperative morbidity and mortality and
detailed algorithms have been released by international societies, no specific
guidelines are available for the perioperative management in this population.
Nonetheless, understanding the complex anatomy and unusual physiology of
both… More >
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