In the most recent publication of the Journal, Farr and associates have reviewed the
outcomes of adults with complex congenital heart disease (CHD) undergoing general
surgical procedures over a 10-year period at two tertiary centers in Boston, MA.
1
One hundred and eighteen patients with moderate and great complexity CHD as predetermined
using the American College of Cardiology 2001 Bethesda Conference classification system
were studied. Over 90% of the study population was New York Heart Association (NYHA)
functional class I or II and 60% had a left ventricular ejection fraction greater
than 55%, suggesting very good baseline functional status. The vast majority of procedures
in this study were elective. Overall there was very low in-hospital morbidity and
mortality in this study, which differs from previous data.
2
In fact, the morbidity did not significantly differ from quoted NSQIP predictive
scores for the general population.To read this article in full you will need to make a payment
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References
- Adult survivors of moderate and great complexity congenital heart disease undergoing general surgery procedures: how do they fare?.Am J Surg. 2022; 223: 841--845
- Perioperative outcomes of major noncardiac surgery in adults with congenital heart disease.Anesthesiology. 2013; 119: 762-769
- Anesthesia for noncardiac surgery in adults with congenital heart disease.Anesthesiology. 2009; 111: 432-440
- ACC/AHA 2008 guidelines for the management of adults with congenital heart disease: a report of the American College of cardiology/American heart association task force on practice guidelines (writing committee to develop guidelines on the management of adults with congenital heart disease). Developed in collaboration with the American society of echocardiography, heart rhythm society, international society for adult congenital heart disease, society for cardiovascular angiography and interventions, and society of thoracic surgeons.J Am Coll Cardiol. 2008; 52: e143-e263
Article info
Publication history
Published online: March 18, 2022
Accepted:
March 12,
2022
Received:
October 15,
2021
Identification
Copyright
© 2022 Elsevier Inc. All rights reserved.
