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Chapter 23 - Adult Congenital Heart Disease

from Section 4 - Paediatric Cardiac Surgery

Published online by Cambridge University Press:  12 May 2020

Joseph Arrowsmith
Affiliation:
Royal Papworth Hospital, Cambridge
Andrew Roscoe
Affiliation:
Singapore General Hospital
Jonathan Mackay
Affiliation:
Royal Papworth Hospital, Cambridge
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Summary

Heart disease is a common congenital abnormality, affecting 5–9 per 1,000 newborns. Successful evolution of treatment strategies has led to a significant reduction in the number of deaths from congenital heart disease (CHD) in children and this dramatic success has led to increased adult survivors with adult congenital heart disease (ACHD). Survival into adulthood is now more than 90% and estimates suggest that there are more than 2 million adults in the USA with ACHD; three times the number of children with CHD.

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Publisher: Cambridge University Press
Print publication year: 2020

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References

Further Reading

Bennett, JM, Ehrenfeld, JM, Markham, L, Eagle, SS. Anesthetic management and outcomes for patients with pulmonary hypertension and intracardiac shunts and Eisenmenger syndrome: a review of institutional experience. J Clin Anesth 2014; 26: 286–93.CrossRefGoogle ScholarPubMed
Maxwell, BG, Posner, KL, Wong, JK, et al. Factors contributing to adverse perioperative events in adults with congenital heart disease: a structured analysis of cases from the closed claims project. Congenit Heart Dis 2015; 10: 21–9.Google Scholar
Nasr, VG, Kussman, BD. Advances in the care of adults with congenital heart disease. Semin Cardiothorac Vasc Anesth 2015; 19: 175–86.CrossRefGoogle ScholarPubMed
Nasr, VG, Faraoni, D, Valente, AM, DiNardo, JA. Outcomes and costs of cardiac surgery in adults with congenital heart disease. Pediatr Cardiol 2017; 38: 1359–64.CrossRefGoogle ScholarPubMed
Navaratnam, D, Fitzsimmons, S, Grocott, M, et al. Exercise-induced systemic venous hypertension in the Fontan circulation. Am J Cardiol 2016; 117: 1667–71.CrossRefGoogle ScholarPubMed

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