title: Adult congenital heart disease.
abstract: For a decade now, it has been recognized that optimal management of adult congenital heart disease (ACHD) requires a skilled multidisciplinary team. The size and complexity of the population of adults with congenital heart disease (CHD) are increasing. This article reviews the general considerations for giving an anesthetic to an adult with CHD for cardiac or noncardiac surgery and provides further elaboration for a variety of complex patient types. Lastly, the advantages of an organized multidisciplinary approach to patients with ACHD are discussed.
authors.affiliation: Department of Anesthesia and Pain Medicine, University of Alberta and Stollery Children's Hospital, Edmonton, AB, Canada. rseal@ualberta.ca
authors.forename: Robert
authors.initials: R
authors.lastname: Seal
mesh_terms: D000328:Adult; D000758:Anesthesia; D019072:Antibiotic Prophylaxis; D001145:Arrhythmias, Cardiac / Q000150:complications / Q000628:therapy; D006348:Cardiac Surgical Procedures; D003490:Cyanosis / Q000150:complications; D004541:Eisenmenger Complex / Q000150:complications; D005260:Female; D018729:Fontan Procedure; D006330:Heart Defects, Congenital / Q000453:epidemiology / Q000601:surgery* / Q000628:therapy*; D006801:Humans; D006976:Hypertension, Pulmonary / Q000150:complications / Q000628:therapy; D016343:Monitoring, Intraoperative; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000628:therapy; D011300:Preoperative Care; D012086:Reoperation; D013771:Tetralogy of Fallot / Q000601:surgery; D018754:Ventricular Dysfunction / Q000150:complications