Key result
Recent literature highlights that infants with a functional single ventricle, suprasystemic pulmonary hypertension, or dilated cardiomyopathy are at highest anesthetic risk during noncardiac procedures.
Identification of high-risk patients and multidisciplinary planning are critical for optimizing outcomes in children with congenital heart disease undergoing noncardiac procedures.
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Mandates heightened perioperative caution in these infants; leaves open prospective validation of risk stratification.
Gottlieb et al. (2013) conducted a review in Congenital heart disease presenting for noncardiac surgery. Anesthetic and perioperative care was evaluated. Recent literature highlights that infants with a functional single ventricle, suprasystemic pulmonary hypertension, or dilated cardiomyopathy are at highest anesthetic risk during noncardiac procedures.
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