Author/Authors :
Hamid, Mohammad Aga Khan University Hospital - Department of Anaesthesia, Pakistan , Khan, Mansoor Ahmed Aga Khan University Hospital - Department of Anaesthesia, Pakistan , Akhtar, Mohammad Irfan Aga Khan University Hospital - Department of Anaesthesia, Pakistan , Hameedullah Aga Khan University Hospital - Department of Anaesthesia, Pakistan , Saleemullah Aga Khan University Hospital, Pakistan , Samad, Khalid Aga Khan University Hospital - Department of Anaesthesia, Pakistan , Khan, Fazal Hameed Aga Khan University Hospital - Department of Anaesthesiology, Pakistan
Abstract :
Congenital heart disease patients surviving to adulthood have increased over the years due to various reasons. These patients are admitted in the hospital for non cardiac surgeries and other procedures more often than normal adult population. Management of grown up congenital heart disease patient presents a challenge during perioperative period for cardiologists, surgeons, intensivists and particularly for the anaesthetist. Management issues include psychological and physiological impact on the patient, complexity of defects, presence of previous palliative procedure, impact of anaesthetic agents on shunting and myocardium, endocarditis prophylaxis and associated extra cardiac anamolies.
