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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 2. A summary of surgical procedures and postoperative period.

NSurgeryICU periodComplicationsPostoperative periodDischarge dataFollow-up
1MV and TV repair, PV replacement, shunts closure, RFA5 daysHF, neurological lesions12 daysLVEF 45%, sinus rhythm1 year – RFA for atrial flutter, NYHA class II
2TV and MV replacement1 dayHF, hydrothorax11 daysSVEF 40%, SVEDD 6.0 cm, CI 3.0 L/min/m18 months – NYHA class I
3TV and PV replacement, RFA5 daysHF, pulmonary edema15 daysLVEF 60%, sinus rhythm, BNP 94 pg/ml17 months – NYHA class I–II
4Surgical repair with internal patch technique, TV repair, RFA1 day8 daysLVEF 58%, sinus rhythm, BNP 88 pg/ml1 year – NYHA class I
5ASD closure, TV repair, RFA1 day8 daysLVEF 55%, sinus rhythm, BNP 430 pg/ml2.5 years – NYHA class I
ICU – Intensive Care Unit; RFA – radiofrequency ablation; SVEDD – systemic ventricular end-diastolic diameter.

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