Cardiac Surgery Anesthesia for Adult Congenital Heart Disease

Abstract

The prognosis of patients with congenital heart disease（CHD）has dramatically improved, leading to an increase in the proportion of patients undergoing heart surgery in adulthood. Adult CHD（ACHD）comprises various primary diseases. Patients with ACHD are exposed to complex and special hemodynamics from childhood and have complications that differ from those of normal adults. For anesthesia management in cardiac surgery, it is essential to understand the pathophysiology and severity of heart disease and thoroughly evaluate the patient’s condition before surgery. Herein, we present a case of ACHD encountered at our hospital and describe preoperative evaluation and perioperative management for ACHD.