JACC. Advances · 2025
Critical Care of the Adult With Congenital Heart Disease.
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Valle Christopher W, Garfinkel Amanda C, Buber Jonathan, Romfh Anitra W, Elliott Andrea M, Menachem Jonathan N, Nelson Jennifer, Laussen Peter C, Heggie Jane, Dezfulian Cameron, Morrow David, Valente Anne Marie, American College of Cardiology Critical Care Cardiology Section and Adult Congenital and Pediatric Cardiology Section
Аннотация
Advances in the treatment of congenital heart disease (CHD) have led to dramatic improvements in survival for individuals with CHD. While adults with CHD represent a small percentage of admissions to the intensive care unit (ICU), the critical care needs of this population will grow as this population ages and develops increasingly complex cardiac and noncardiac conditions. Adults with CHD require special care in the ICU because of both their unique cardiovascular conditions and the multi-organ dysfunction that often accompanies their cardiac pathophysiology. This review aims to summarize the current epidemiology of critical care for adults with CHD, describe key physiologic and management considerations in caring for adults with highly complex CHD (eg, Fontan circulation, systemic right ventricle, and Eisenmenger syndrome), identify cardiac and noncardiac risk factors for adverse outcomes following admission to the ICU, and define key research and educational priorities for the future care of this vulnerable population.