Key result
Thorough preoperative evaluation of pathophysiology and severity, particularly regarding right ventricular function, is essential for the perioperative anesthesia management of adult patients with congenital heart disease.
Why the study?
With improved prognosis for congenital heart disease, more patients undergo cardiac surgery in adulthood, presenting diverse primary diseases, complex hemodynamics, and unique complications that require thorough preoperative evaluation and anesthetic management.
Thorough preoperative evaluation using standardized scoring systems and tailored anesthesia management focusing on right ventricular function are crucial for safe cardiac surgery in adult congenital heart disease patients.
May guide RV-focused anesthesia planning in adult CHD; leaves open need for prospective validation before practice change.
先天性心疾患（Congenital Heart Disease：CHD）患者の予後は飛躍的に改善し，それに伴い成人になってから心臓手術を受ける患者の割合も多くなっている．成人先天性心疾患（Adult Congenital Heart Disease：ACHD）では，原疾患が多岐にわたり，小児期から複雑，かつ特殊な血行動態に曝され，一般の成人とは異なった合併症を抱えていることが多い．心臓手術の麻酔管理には，病態の理解と重症度を把握し，術前評価を徹底することが重要である．当院の症例を提示し，ACHDに対する術前評価と周術期管理のポイントを述べる．
No takes yet. Share an insight, caveat, or question.
Asaka Watanabe (2023) conducted a review in Adult Congenital Heart Disease (Tetralogy of Fallot) (n=10). Preoperative evaluation and anesthesia management was evaluated. Thorough preoperative evaluation of pathophysiology and severity, particularly regarding right ventricular function, is essential for the perioperative anesthesia management of adult patients with congenital heart disease.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: