Logo American Journal of Case Reports

Call: 1.631.629.4328
Mon-Fri 10 am - 2 pm EST

Contact Us

Logo American Journal of Case Reports Logo American Journal of Case Reports Logo American Journal of Case Reports

13 October 2023: Articles

Improved Surgical Outcomes in Adults with Congenital Heart Disease and Decompensated Heart Failure: The Role of Perioperative Medical Optimization

Challenging differential diagnosis, Unusual setting of medical care, Congenital defects / diseases

Anton Minaev A* , Vladimir Podzolkov C , Timur Danilov B , Mikhail Chiaureli D , Bupe Mumba Mwela E , Vera Dontsova B

DOI: 10.12659/AJCR.939230

Am J Case Rep 2023; 24:e939230

Table 1. A summary of the preoperative period.

NAge/SexInitial CHDPrevious proceduresAdmission stateComorbiditiesMedication and proceduresTreatment periodPreoperative state
149/mDORVDORV repair, cardioversionLVEF 33%, RVEF 33%, CI 3.2 L/min/m, TR, PR, MR, residual shunts, BNP 440 pg/mlAtrial flutter, hypothyroidismARNI, sotalol, phosphocreatine, diuretics, levosimendan2 weeksLVEF 47%, RVEF 39%, cardiac index 4.6 L/min/m, BNP 214 pg/ml
245/fccTGAPacemaker implantationSVEF 27%, CI 1.8 L/min/m, TR, MR, BNP 1280 pg/mlARNI, bisoprolol, phosphocreatine, diuretics, levosimendan2 monthsSVEF 40%, cardiac index 2.8 L/min/m, BNP 110 pg/ml
332/fToF with single right PAPalliative infundibulectomy, total repair, TV replacementLVEF 60%, TP dysfunction, PR, FAC RV 26%, Hb 8.0 g/dl, BNP 370 pg/mlAtrial flutter, iron-deficiency anemiaCardioversion, ARNI, amiodarone, diuretics, iron2 monthsHb 11.8 g/dl, sinus rhythm, RVEF, BNP 160 pg/ml
449/fPAPVRLVEF 50%, ASD, TR, BMI 32 kg/m, BNP 215 pg/mlAtrial fibrillation, hypertensionARNI, bisoprolol, diuretics1,5 weeksBMI 29 kg/m, BNP 110 pg/ml
562/mASDLVEF 45%, ASD, TR, BMI 28 kg/m, BNP 173 pg/mlAtrial fibrillationARNI, bisoprolol, phosphocreatine, diuretics8 daysLVEF 52%, BMI 26 kg/m, BNP 88 pg/ml
DORV – double-outlet right ventricle; ccTGA – congenitally corrected transposition of the great arteries; ToF – tetralogy of Fallot; PAPVR – partial anomalous pulmonary veins return; ASD – atrial septal defect; LV – left ventricle; RV – right ventricle; SV – systemic ventricle; EF – ejection fraction; CI – cardiac index; FAC – fractional area change; TR – tricuspid regurgitation; MR – mitral regurgitation; PR – pulmonary regurgitation; ARNI – angiotensin receptor neprilysin inhibitor; BMI – body mass index.

Your Privacy

We use cookies to ensure the functionality of our website, to personalize content and advertising, to provide social media features, and to analyze our traffic. If you allow us to do so, we also inform our social media, advertising and analysis partners about your use of our website, You can decise for yourself which categories you you want to deny or allow. Please note that based on your settings not all functionalities of the site are available. View our privacy policy.

American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923