• J. Cardiothorac. Vasc. Anesth. · Apr 2023

    Review

    Anesthetic Considerations for Adult Patients With Both Down Syndrome and Congenital Heart Disease Undergoing Noncardiac Surgery: A Review Article.

    • Muhanad A Aboud, Virendra K Arya, Vikas Dutta, Robin Ducas, Waiel Al-Moustadi, and Subhrashis Guha Niyogi.
    • Poznan University of Medical Sciences, Poznań, Poland.
    • J. Cardiothorac. Vasc. Anesth. 2023 Apr 1; 37 (4): 613626613-626.

    AbstractThe population of adult patients with both Down syndrome and congenital heart disease is increasing due to better medical and surgical care. This cohort presents with multiple unique comorbidities, secondary to both progressions of health conditions associated with the aging of patients with Down syndrome, as well as due to pathophysiologic effects of uncorrected, corrected, or palliated congenital heart disease. These patients need frequent medical care and interventions requiring multiple anesthetics. This review focuses on the various factors relevant to the perioperative medical care of adult patients with both Down syndrome and congenital heart disease, founded on existing literature. Various anesthetic considerations for the different patterns of noncardiac and cardiac comorbidities are reviewed, and a systematic approach for the perioperative anesthetic management of these patients is presented.Copyright © 2022 Elsevier Inc. All rights reserved.

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