Grown Up Congenital Heart Diseases (GUCH): A Review
The survival of children with congenital heart disease into adulthood has increased. These patients may require primary cardiac surgical repair, repair after prior palliation, revision of repair for residual lesion, or non-cardiac surgery. Preoperative cardiac evaluation consists of review of labora...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2013-10-01
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| Series: | The Indian Anaesthetists' Forum |
| Subjects: | |
| Online Access: | http://www.theiaforum.org/displayFullArticle.jsp?articleId=KdEaYUA2Mdo%3D |
| _version_ | 1818955776427819008 |
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| author | Bhuvnesh Kansara Ajmer Singh |
| author_facet | Bhuvnesh Kansara Ajmer Singh |
| author_sort | Bhuvnesh Kansara |
| collection | DOAJ |
| description | The survival of children with congenital heart disease into adulthood has increased. These patients may require primary cardiac surgical repair, repair after prior palliation, revision of repair for residual lesion, or non-cardiac surgery. Preoperative cardiac evaluation consists of review of laboratory data, echocardiography, cardiac MRI, CT, cardiopulmonary exercise testing, arrhythmia monitoring, and cardiac catheterization. Perioperative complications are more frequently seen in high-risk patients i.e. those with pulmonary hypertension, cyanosis, heart failure, and poor general health. Guidelines for the management of patients with grown up congenital heart (GUCH) diseases suggest that such patients are best treated in dedicated tertiary care centres by a multidisciplinary team, knowledgeable about the anatomy and pathophysiology of the lesion. |
| first_indexed | 2024-12-20T10:43:26Z |
| format | Article |
| id | doaj.art-baf5fc390c3a4acbbfc364bc4a83be61 |
| institution | Directory Open Access Journal |
| issn | 0973-0311 |
| language | English |
| last_indexed | 2024-12-20T10:43:26Z |
| publishDate | 2013-10-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | The Indian Anaesthetists' Forum |
| spelling | doaj.art-baf5fc390c3a4acbbfc364bc4a83be612022-12-21T19:43:30ZengWolters Kluwer Medknow PublicationsThe Indian Anaesthetists' Forum0973-03112013-10-01141219Grown Up Congenital Heart Diseases (GUCH): A ReviewBhuvnesh KansaraAjmer SinghThe survival of children with congenital heart disease into adulthood has increased. These patients may require primary cardiac surgical repair, repair after prior palliation, revision of repair for residual lesion, or non-cardiac surgery. Preoperative cardiac evaluation consists of review of laboratory data, echocardiography, cardiac MRI, CT, cardiopulmonary exercise testing, arrhythmia monitoring, and cardiac catheterization. Perioperative complications are more frequently seen in high-risk patients i.e. those with pulmonary hypertension, cyanosis, heart failure, and poor general health. Guidelines for the management of patients with grown up congenital heart (GUCH) diseases suggest that such patients are best treated in dedicated tertiary care centres by a multidisciplinary team, knowledgeable about the anatomy and pathophysiology of the lesion.http://www.theiaforum.org/displayFullArticle.jsp?articleId=KdEaYUA2Mdo%3DAdult CHDGUCHAnaesthetic implications |
| spellingShingle | Bhuvnesh Kansara Ajmer Singh Grown Up Congenital Heart Diseases (GUCH): A Review The Indian Anaesthetists' Forum Adult CHD GUCH Anaesthetic implications |
| title | Grown Up Congenital Heart Diseases (GUCH): A Review |
| title_full | Grown Up Congenital Heart Diseases (GUCH): A Review |
| title_fullStr | Grown Up Congenital Heart Diseases (GUCH): A Review |
| title_full_unstemmed | Grown Up Congenital Heart Diseases (GUCH): A Review |
| title_short | Grown Up Congenital Heart Diseases (GUCH): A Review |
| title_sort | grown up congenital heart diseases guch a review |
| topic | Adult CHD GUCH Anaesthetic implications |
| url | http://www.theiaforum.org/displayFullArticle.jsp?articleId=KdEaYUA2Mdo%3D |
| work_keys_str_mv | AT bhuvneshkansara grownupcongenitalheartdiseasesguchareview AT ajmersingh grownupcongenitalheartdiseasesguchareview |