Department of Anesthesiology, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, Cincinnati, OH 45229, USA; Department of Anesthesiology, University of Minnesota, B515 Mayo, 420 Delaware Street Southeast, Minneapolis, MN 55455, USA.
Department of Anesthesiology, University of Minnesota, B515 Mayo, 420 Delaware Street Southeast, Minneapolis, MN 55455, USA.
Anesthesiol Clin. 2020 Sep;38(3):643-662. doi: 10.1016/j.anclin.2020.05.008. Epub 2020 Jul 16.
The focus of this article is noncardiac surgery in the adult with congenital heart disease (CHD). The purpose is to provide the general and pediatric anesthesiologist with a basic overview of the most common congenital cardiac lesions, their long-term sequelae, and expected perioperative concerns during noncardiac surgery. Because of the very heterogeneous nature of CHD, it is difficult to make a single article a comprehensive guide for every lesion and its associated perioperative concerns. The authors hope to provide those who are not specifically trained in congenital cardiac anesthesia the basic principles and a greater understanding of each defect.
本文重点介绍成人先天性心脏病（CHD）患者的非心脏手术。目的是为普通和儿科麻醉师提供最常见先天性心脏病变、其长期后遗症以及非心脏手术期间预期围手术期关注点的基本概述。由于 CHD 的异质性非常强，因此很难在一篇文章中全面介绍每种病变及其相关围手术期关注点。作者希望为那些没有接受过先天性心脏麻醉专门培训的人提供基本原则和对每个缺陷的更深入理解。
