A patient with a congenital heart disease may be at increased risk for complications following noncardiac surgery. Surgery at a center that specializes in these patients should be considered.
Parameters:
(1) pulmonary hypertension (primary or secondary)
(2) cyanotic congenital heart disease
(3) NYHA functional class III or IV
(4) systemic ventricular dysfunction (ejection fraction)
(5) left-sided heart obstructive lesions
(6) prosthetic valve or conduit
(7) intracardiac shunt
Parameter
Modifier
Risk
pulmonary hypertension
high
cyanotic congenital heart disease
NYHA functional class III or IV
left ventricular dysfunction
severe (LVEF < 35%)
moderate
left-sided heart obstruction
severe
prosthetic valve or conduit
intracardiac shunt
Other factors associated with increased risk with noncardiac surgery:
(1) history of a Fontan procedure
(2) need for anticoagulation
(3) presence of a malignant arrhythmia
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Specialty: Cardiology, Surgery, general, Surgery, orthopedic
ICD-10: ,
