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Emergency Noncardiac Surgery in the Congenital Heart Disease Patient 

Emergency Noncardiac Surgery in the Congenital Heart Disease Patient
Emergency Noncardiac Surgery in the Congenital Heart Disease Patient

Marc Hassid

, and Amanda T. Redding

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date: 23 June 2021

Some of the most difficult cases that an anesthesiologist may encounter involve anesthesia for patients with congenital heart disease for noncardiac surgery. These cases pose a number of unique challenges due to the wide range of anatomic and physiologic abnormalities that may be encountered, and various interventions that need to take place in order to maintain hemodynamic goals. This chapter explores the perioperative considerations for patients with repaired or palliated congenital heart disease presenting for emergency noncardiac surgery. It provides a brief review of the anatomy and physiology after repair of the tetralogy of Fallot, of the systemic right ventricle, and of the single ventricle. The chapter further explores strategies for preoperative preparation and intraoperative management of these patients in the event that they present for emergency surgery.

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