Congenital Heart Disease

3.1.5 - Congenital Heart Disease

from Section 3.1 - Cardiac and Circulatory Failure

Published online by Cambridge University Press: 27 July 2023

Edited by

Debashish Dutta and

Ned Gilbert-Kawai: Affiliation:
The Royal Liverpool Hospital
Debashish Dutta: Affiliation:
Princess Alexandra Hospital NHS Trust, Harlow
Carl Waldmann: Affiliation:
Royal Berkshire Hospital, Reading

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Summary

Key Learning Points

1. There are more adults than children with congenital heart disease (CHD).
2. Despite improvements in patient survival, adults with CHD remain at a higher risk of morbidity and death, when compared to the general population.
3. When a patient with CHD presents to the intensive care unit, determine the patient’s underlying cardiac condition and any previous intervention, as these will affect the patient’s physiology.
4. Patients with CHD may be more sensitive to the effects of critical illness. Consider the interactions between the patient’s underlying physiology and their critical care condition.
5. Consider early communication with the patient’s cardiac centre to obtain additional patient information and advice regarding management, and to discuss whether the patient requires transfer to a specialist centre.

Keywords

adult congenital heart disease grown-up congenital heart disease shunt lesions tetralogy of Fallot transposition of the great arteries

Type: Chapter
Information: Intensive Care Medicine
The Essential Guide
, pp. 105 - 110

DOI: https://doi.org/10.1017/9781108989060 [Opens in a new window]

Publisher: Cambridge University Press

Print publication year: 2021

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References

References and Further Reading

Allan, CK. Intensive care of the adult patient with congenital heart disease. Progr Cardiovasc Dis 2011;53:274–80.Google Scholar

Andropoulos, DB, Stayer, SA, Russell, IA. Anesthesia for Congenital Heart Disease. Hoboken, NJ: Wiley-Blackwell; 2010.CrossRef Google Scholar

Fraser, CD, Kane, LC. Congenital heart disease. In: Townsend, C, Beauchamp, RD, Evers, BM, Mattox, K (eds). Sabiston Textbook of Surgery, 20th edn. Philadelphia, PA: WB Saunders; 2016. pp. 1619–57.Google Scholar

Kelleher, A. Adult congenital heart disease (grown-up congenital heart disease). Contin Educ Anaesth Crit Care Pain 2012;12:28–32.Google Scholar

Webb, GD, Smallhorn, JF, Therrien, J, Redington, AN. Congenital heart disease. In: Mann, D, Zipes, D, Libby, P, Bonow, R, Braunwald, E (eds). Brawnwald’s Heart Disease. A Textbook of Cardiovascular Medicine, 10th edn. Philadelphia, PA: Elsevier; 2015. pp. 1391–445.Google Scholar