Skip to main content
  • 2250 Accesses

Abstract

Evaluation of the patient with congenital cardiac lesion consists of complete understanding of the anatomic detail of the lesion as well as its pathophysiological impact. To achieve this goal, the clinician should first gather information from medical history, physical examination, and paraclinical studies. Then, he or she can interpret patient’s information in the context of making an accurate diagnosis. This chapter describes sequential steps of a rational preoperative evaluation in patients with congenital cardiac disease.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 169.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 219.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  • Baik N, Urlesberger B, Schwaberger B, Freidl T, Schmolzer GM, Pichler G. Cardiocirculatory monitoring during immediate fetal-to-neonatal transition: a systematic qualitative review of the literature. Neonatology. 2015;107:100–7.

    Article  PubMed  Google Scholar 

  • Bengur AR, Li JS, Herlong JR, Jaggers J, Sanders SP, Ungerleider RM. Intraoperative transesophageal echocardiography in congenital heart disease. Semin Thorac Cardiovasc Surg. 1998;10:255–64.

    Article  CAS  PubMed  Google Scholar 

  • Butera G, Morgan GJ, Ovaert C, Anjos R, Spadoni I. Recommendations from the Association of European Paediatric Cardiology for training in diagnostic and interventional cardiac catheterisation. Cardiol Young. 2015;25:438–46.

    Article  PubMed  Google Scholar 

  • Carlson KM, Justino H, O’Brien RE, Dimas VV, Leonard Jr GT, Pignatelli RH, Mullins CE, Smith EO, Grifka RG. Transcatheter atrial septal defect closure: modified balloon sizing technique to avoid overstretching the defect and oversizing the Amplatzer septal occluder. Catheter Cardiovasc Interv Off J Soc Cardiac Angiography Interv. 2005;66:390–6.

    Article  Google Scholar 

  • Cobben JM, Oostra RJ, van Dijk FS. Pectus excavatum and carinatum. Eur J Med Genet. 2014;57:414–7.

    Article  PubMed  Google Scholar 

  • Constantine G, Shan K, Flamm SD, Sivananthan MU. Role of MRI in clinical cardiology. Lancet. 2004;363:2162–71.

    Article  PubMed  Google Scholar 

  • Driscoll SG, Benirschke K, Curtis GW. Neonatal deaths among infants of diabetic mothers. Postmortem findings in ninety-five infants. Am J Dis Children. 1960;100:818–35.

    Article  CAS  Google Scholar 

  • Einstein AJ. Radiation protection of patients undergoing cardiac computed tomographic angiography. JAMA. 2009;301:545–7.

    Article  CAS  PubMed  Google Scholar 

  • El-Said HG, Ing FF, Grifka RG, Nihill MR, Morris C, Getty-Houswright D, Mullins CE. 18-year experience with transseptal procedures through baffles, conduits, and other intra-atrial patches. Catheter Cardiovasc Interv Off J Soc Cardiac Angiography Interv. 2000;50:434–9; discussion 440.

    Article  CAS  Google Scholar 

  • Gorges M, Whyte SD, Sanatani S, Dawes J, Montgomery CJ, Ansermino JM. Changes in QTc associated with a rapid bolus dose of dexmedetomidine in patients receiving TIVA: a retrospective study. Paediatr Anaesth. 2015;25:1287–93.

    Article  PubMed  Google Scholar 

  • Grifka RG. Cyanotic congenital heart disease with increased pulmonary blood flow. Pediatr Clin North Am. 1999;46:405–25.

    Article  CAS  PubMed  Google Scholar 

  • Grifka RG, Fenrich AL, Tapio JB. Transcatheter closure of patent ductus arteriosus and aorto-pulmonary vessels using non-ferromagnetic Inconel MReye embolization coils. Catheter Cardiovasc Interv Off J Soc Cardiac Angiography Interv. 2008;72:691–5.

    Article  Google Scholar 

  • Jacobs JP. The science of assessing the outcomes and improving the quality of the congenital and paediatric cardiac care. Curr Opin Cardiol. 2015;30:100–11.

    Article  PubMed  Google Scholar 

  • Kamra K, Russell I, Miller-Hance WC. Role of transesophageal echocardiography in the management of pediatric patients with congenital heart disease. Paediatr Anaesth. 2011;21:479–93.

    Article  PubMed  Google Scholar 

  • Levin DL, Paul MH, Muster AJ, Newfeld EA, Waldman JD. d-Transposition of the great vessels in the neonate. A clinical diagnosis. Arch Intern Med. 1977;137:1421–5.

    Article  CAS  PubMed  Google Scholar 

  • Mace S, Hirschfield SS, Riggs T, Fanaroff AA, Merkatz IR. Echocardiographic abnormalities in infants of diabetic mothers. J Pediatr. 1979;95:1013–9.

    Article  CAS  PubMed  Google Scholar 

  • Marek J, Skovranek J, Hucin B, Chaloupecky V, Tax P, Reich O, Samanek M. Seven-year experience of noninvasive preoperative diagnostics in children with congenital heart defects: comprehensive analysis of 2,788 consecutive patients. Cardiology. 1995;86:488–95.

    Article  CAS  PubMed  Google Scholar 

  • Moss AJ. Clues in diagnosing congenital heart disease. West J Med. 1992;156:392–8.

    CAS  PubMed  PubMed Central  Google Scholar 

  • Nora JJ. Multifactorial inheritance hypothesis for the etiology of congenital heart diseases. The genetic-environmental interaction. Circulation. 1968;38:604–17.

    Article  CAS  PubMed  Google Scholar 

  • Nora JJ, Nora AH. Genetic and environmental factors in the etiology of congenital heart diseases. South Med J. 1976;69:919–26.

    Article  CAS  PubMed  Google Scholar 

  • Rihal CS, Naidu SS, Givertz MM, Szeto WY, Burke JA, Kapur NK, Kern M, Garratt KN, Goldstein JA, Dimas V, Tu T. 2015 SCAI/ACC/HFSA/STS Clinical Expert Consensus Statement on the Use of Percutaneous Mechanical Circulatory Support Devices in Cardiovascular Care: Endorsed by the American Heart Association, the Cardiological Society of India, and Sociedad Latino Americana de Cardiologia Intervencion; Affirmation of Value by the Canadian Association of Interventional Cardiology-Association Canadienne de Cardiologie d’intervention. J Am Coll Cardiol. 2015a;65:e7–26.

    Article  PubMed  Google Scholar 

  • Rihal CS, Naidu SS, Givertz MM, Szeto WY, Burke JA, Kapur NK, Kern M, Garratt KN, Goldstein JA, Dimas V, Tu T. 2015 SCAI/ACC/HFSA/STS Clinical Expert Consensus Statement on the Use of Percutaneous Mechanical Circulatory Support Devices in Cardiovascular Care: Endorsed by the American Heart Association, the Cardiological Society of India, and Sociedad Latino Americana de Cardiologia Intervencionista; Affirmation of Value by the Canadian Association of Interventional Cardiology-Association Canadienne de Cardiologie d’intervention. J Am Coll Cardiol. 2015b;65:2140–1.

    Article  PubMed  Google Scholar 

  • Rowland TW, Hubbell Jr JP, Nadas AS. Congenital heart disease in infants of diabetic mothers. J Pediatr. 1973;83:815–20.

    Article  CAS  PubMed  Google Scholar 

  • Rutledge JM, Mullins CE, Nihill MR, Grifka RG, Vincent JA. Initial experience with intratherapeutics Intrastent Doublestrut LD stents in patients with congenital heart defects. Catheter Cardiovasc Interv Off J Soc Cardiac Angiography Interv. 2002;56:541–8.

    Article  Google Scholar 

  • Selbst SM, Ruddy R, Clark BJ. Chest pain in children. Follow-up of patients previously reported. Clin Pediatr. 1990;29:374–7.

    Article  CAS  Google Scholar 

  • Stevenson JG. Utilization of intraoperative transesophageal echocardiography during repair of congenital cardiac defects: a survey of North American centers. Clin Cardiol. 2003;26:132–4.

    Article  PubMed  Google Scholar 

  • Strobel AM, Lu le N. The critically ill infant with congenital heart disease. Emerg Med Clin North Am. 2015;33:501–18.

    Article  PubMed  Google Scholar 

  • Thomas MJ, Battle RW. Something old, something new: using family history and genetic testing to diagnose and manage athletes with inherited cardiovascular disease. Clin Sports Med. 2015;34:517–37.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Ramin Baghaei Tehrani MD .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2017 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Baghaei Tehrani, R. (2017). Preoperative Evaluation. In: Dabbagh, A., Conte, A., Lubin, L. (eds) Congenital Heart Disease in Pediatric and Adult Patients. Springer, Cham. https://doi.org/10.1007/978-3-319-44691-2_12

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-44691-2_12

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-44689-9

  • Online ISBN: 978-3-319-44691-2

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics