Mossad Emad B, Motta Pablo, Vener David F
Baylor College of Medicine, Houston, TX, USA.
Anesthesiol Clin. 2013 Jun;31(2):405-19. doi: 10.1016/j.anclin.2012.12.005. Epub 2013 Mar 16.
There are currently in North America more adults with congenital heart disease than children. This article discusses the anesthetic considerations in adults with single-ventricle physiology and prior repairs who present for Fontan conversion surgery as a demonstration of the challenges of caring for adults undergoing interventions for the repair of congenital heart defects. The care of these patients requires an understanding of the impact of passive pulmonary blood flow and single systemic ventricular physiology. The perioperative morbidity in this patient population remains high.
目前在北美，患有先天性心脏病的成年人比儿童更多。本文讨论了患有单心室生理状况且之前已接受过修复手术、前来进行Fontan转换手术的成年人的麻醉注意事项，以此展示护理接受先天性心脏缺陷修复干预的成年人所面临的挑战。护理这些患者需要了解被动肺血流和单系统心室生理的影响。该患者群体围手术期发病率仍然很高。
