Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2022 Mar;24(3):235-246.
doi: 10.1007/s11886-022-01639-y. Epub 2022 Jan 26.

Anesthetic Management in Adults with Congenital Heart Disease

Jon S Andrews  1 , Nazish K Hashmi  2
Affiliations
Review

Anesthetic Management in Adults with Congenital Heart Disease

Jon S Andrews et al. Curr Cardiol Rep. 2022 Mar.

Abstract

Purpose of review: Adults with congenital heart disease (ACHD) are a complex and growing population that presents numerous challenges for anesthetic management. This review summarizes special considerations for anesthetic management in ACHD.

Recent findings: The adult patient with congenital heart disease may require anesthetic care for multiple surgeries and interventions throughout their lifetime. The cardiac and extracardiac manifestations of ACHD have important perioperative implications that affect anesthetic management. Recent American Heart Association/American College of Cardiology and European Society of Cardiology guidelines endorse a multidisciplinary, team-based approach to care. The cardiac anesthesiologist, endorsed as part of this multidisciplinary team, must have a thorough understanding of congenital heart disease pathophysiology and common extra-cardiac manifestations of ACHD. Safe anesthetic management in adult congenital heart disease should incorporate a multi-disciplinary approach to patient care. Anesthesiologists and centers with special expertise in ACHD care should be utilized or consulted whenever possible.

Keywords: ACHD; Cardiac anesthesia; Congenital heart disease; Extra-cardiac manifestations of ACHD.

PubMed Disclaimer

References

    1. Hoffman JI, Kaplan S. The incidence of congenital heart disease. J Am Coll Cardiol. 2002;39(12):1890–900. https://doi.org/10.1016/s0735-1097(02)01886-7 . - DOI - PubMed
    1. Marelli AJ, Ionescu-Ittu R, Mackie AS, Guo L, Dendukuri N, Kaouache M. Lifetime prevalence of congenital heart disease in the general population from 2000 to 2010. Circulation. 2014;130(9):749–56. https://doi.org/10.1161/CIRCULATIONAHA.113.008396 . - DOI - PubMed
    1. Lei Lei E, Ladha K, Mueller B, Roche L, Rao V, Hickey E, et al. Noncardiac determinants of death and intensive care morbidity in adult congenital heart disease surgery. J Thorac Cardiovasc Surg. 2020;159(6):2407–15 e2. https://doi.org/10.1016/j.jtcvs.2019.07.106 .
    1. Karangelis D, Mazine A, Narsupalli S, Mendis S, Veldtman G, Nikolaidis N. Morbidity after cardiac surgery in patients with adult congenital heart disease in comparison with acquired disease. Heart Lung Circ. 2018;27(6):739–44. https://doi.org/10.1016/j.hlc.2017.05.133 . - DOI - PubMed
    1. Mackie AS, Ionescu-Ittu R, Therrien J, Pilote L, Abrahamowicz M, Marelli AJ. Children and adults with congenital heart disease lost to follow-up: who and when? Circulation. 2009;120(4):302–9. https://doi.org/10.1161/CIRCULATIONAHA.108.839464 . - DOI

LinkOut - more resources