Preoperative Management of Neonates With Congenital Heart Disease

Clinicians caring for neonates with congenital heart disease encounter challenges in clinical care as these infants await surgery or are evaluated for further potential interventions. The newborn with heart disease can present with significant pathophysiologic heterogeneity and therefore requires a...

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Bibliographic Details
Published in:Pediatrics (Evanston) 2022-11, Vol.150 (Suppl 2), p.1
Main Authors: Ashrafi, Amir H, Mazwi, Mjaye, Sweeney, Nathaly, van Dorn, Charlotte S, Armsby, Laurie B, Eghtesady, Pirooz, Ringle, Megan, Justice, Lindsey B, Gray, Seth B, Levy, Victor
Format: Article
Language:English
Subjects:
Cardiovascular disease
Coronary artery disease
Heart
Heart Defects, Congenital - surgery
Heart diseases
Hemodynamics - physiology
Humans
Infant
Infant, Newborn
Neonates
Newborn babies
Pediatrics
Pulmonary Circulation - physiology
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Summary:Clinicians caring for neonates with congenital heart disease encounter challenges in clinical care as these infants await surgery or are evaluated for further potential interventions. The newborn with heart disease can present with significant pathophysiologic heterogeneity and therefore requires a personalized therapeutic management plan. However, this complex field of neonatal-cardiac hemodynamics can be simplified. We explore some of these clinical quandaries and include specific sections reviewing the anatomic challenges in these patients. We propose this to serve as a primer focusing on the hemodynamics and therapeutic strategies for the preoperative neonate with systolic dysfunction, diastolic dysfunction, excessive pulmonary blood flow, obstructed pulmonary blood flow, obstructed systemic blood flow, transposition physiology, and single ventricle physiology.
ISSN:0031-4005
1098-4275
DOI:10.1542/peds.2022-056415F