@Article{chd.12839,
AUTHOR = {Bradley Johnson, Matthew Buelow, Michael Earing, Scott Cohen, Peter Bartz, Salil Ginde},
TITLE = {Coronary artery disease screening in adults with congenital heart disease prior to cardiac surgery},
JOURNAL = {Structural and Congenital Heart Disease},
VOLUME = {14},
YEAR = {2019},
NUMBER = {6},
PAGES = {895--900},
URL = {http://www.techscience.com/schd/v14n6/38907},
ISSN = {3071-1738},
ABSTRACT = {<b>Objective:</b> As adults with congenital heart disease (CHD) grow older, preoperative
screening for coronary artery disease (CAD) may be indicated prior to CHD surgery.
Data regarding the indications for preoperative CAD screening in this population are
limited. Current practice is to follow guidelines for patients with valvular heart dis‐
ease; however, the risk for CAD in certain congenital heart diagnoses may be higher
than the general population. This study aimed to assess the results of preoperative
CAD screening in patients prior to CHD surgery.<br/>
<b>Design:</b> Retrospective study.<br/>
<b>Setting:</b> Single tertiary center.<br/>
<b>Patients:</b> Patients ≥35 years that had CHD surgery from 1/1/2007 to 5/1/2017.<br/>
<b>Outcome Measures:</b> Data regarding CAD risk factors and preoperative CAD screen‐
ing results were obtained. Prevalence and risk factors for CAD were analyzed, along
with their relationship to perioperative outcomes.<br/>
<b>Results:</b> A total of 73 patients underwent CAD screening with either cardiac catheteri‐
zation (56%) or computed tomography angiography (34%) prior to CHD surgery. Overall
16 (22%) patients were found to have CAD. Only two patients had severe coronary
stenosis and underwent coronary bypass grafting at time of CHD surgery. Patients with
CAD were more likely to be older and have history of hypertension, dyslipidemia, and
tobacco smoking. CHD diagnosis was not significantly associated with presence of CAD.<br/>
<b>Conclusion:</b> CAD is common in asymptomatic older patients referred for screening
prior to CHD surgery; however, severe CAD requiring concomitant coronary inter‐
vention is uncommon. Preoperative CAD screening should be based on age and tra‐
ditional CAD risk factors, rather than underlying CHD.},
DOI = {10.1111/chd.12839}
}