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• W1991474779 abstract "The last several decades have seen remarkable advances in medical and surgical care of children with congenital heart disease (CHD). This progress has resulted in decreased morbidity and overall improvements in long-term clinical outcomes. As survival rates continue to improve, an escalating number of affected children will present for noncardiac surgery or other procedures unrelated to their heart disease. The care of these children is becoming more common in all diagnostic and surgical venues.The challenges of caring for children with CHD for noncardiac surgery are magnified by the wide range of defects, each with specific physiologic perturbations, hemodynamic consequences, and severity of disease. This is further complicated by the variety of medical and surgical strategies available for management of these conditions. Optimal anesthesia care requires a thorough understanding of the underlying cardiovascular anatomic abnormalities, pathophysiologic consequences of the malformation, functional status, residua, sequelae, and expected long-term outcome, in addition to the planned procedure and potential complications. In this chapter, general principles of anesthesia practice are reviewed, as they pertain to the care of children with CHD during noncardiac surgery. Unique perioperative considerations and issues applicable to high-risk patient groups are also addressed." @default.
• W1991474779 created "2016-06-24" @default.
• W1991474779 creator A5081730083 @default.
• W1991474779 creator A5088296546 @default.
• W1991474779 date "2004-10-01" @default.
• W1991474779 modified "2023-10-06" @default.
• W1991474779 title "Congenital coronary artery anomalies" @default.
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• W1991474779 doi "https://doi.org/10.1016/j.pcl.2004.04.014" @default.
• W1991474779 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/15331284" @default.
• W1991474779 hasPublicationYear "2004" @default.
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