Surgical Considerations in Adult Congenital Heart Disease Heart Failure.

Autor: Marshall V WH; Department of Internal Medicine, Division of Cardiovascular Medicine, Davis Heart and Lung Research Institute, Wexner Medical Center at The Ohio State University, 473 West 12th Avenue Suite 200, Columbus, OH 43210, USA; The Heart Center, Nationwide Children's Hospital, Columbus, OH, USA. Electronic address: William.marshall@osumc.edu., McConnell P; Department of Cardiothoracic Surgery, Nationwide Children's Hospital, The Heart Center, 700 Children's Drive, 4th Floor Tower, Columbus, OH 43105, USA; Department of Surgery, Division of Cardiac Surgery, The Ohio State University, Columbus, OH, USA.
Jazyk: angličtina
Zdroj: Heart failure clinics [Heart Fail Clin] 2024 Apr; Vol. 20 (2), pp. 199-208. Date of Electronic Publication: 2024 Jan 17.
DOI: 10.1016/j.hfc.2023.12.007
Abstrakt: Surgical intervention is often used in the management of heart failure in patients with adult congenital heart disease. This review addresses anatomic variations and complications due to prior surgical interventions, including sternal reentry, collateral vessels, and the neo-aortic root after the Damus-Kaye-Stansel procedure. Surgical considerations for systemic atrioventricular valvular surgery, Fontan revision, and advanced heart failure therapies including ventricular assist devices, heart transplant, and combined heart-liver transplant are discussed, with a focus on unique patient populations including those with systemic right ventricles and those with Fontan circulation.
Competing Interests: Disclosure All authors have reported that they have no relationships relevant to the contents of this article to disclose. No artificial intelligence software was used in the development of this article.
(Copyright © 2023 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE