13 October 2023
: Case report 
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
1ADE*, Vladimir Podzolkov1CD, Timur Danilov1BC, Mikhail Chiaureli1DE, Bupe Mumba Mwela 2EF, Vera Dontsova1BE
DOI: 10.12659/AJCR.939230
Am J Case Rep 2023; 24:e939230
Table 2. A summary of surgical procedures and postoperative period.
| N | Surgery | ICU period | Complications | Postoperative period | Discharge data | Follow-up |
|---|---|---|---|---|---|---|
| 1 | MV and TV repair, PV replacement, shunts closure, RFA | 5 days | HF, neurological lesions | 12 days | LVEF 45%, sinus rhythm | 1 year – RFA for atrial flutter, NYHA class II |
| 2 | TV and MV replacement | 1 day | HF, hydrothorax | 11 days | SVEF 40%, SVEDD 6.0 cm, CI 3.0 L/min/m | 18 months – NYHA class I |
| 3 | TV and PV replacement, RFA | 5 days | HF, pulmonary edema | 15 days | LVEF 60%, sinus rhythm, BNP 94 pg/ml | 17 months – NYHA class I–II |
| 4 | Surgical repair with internal patch technique, TV repair, RFA | 1 day | – | 8 days | LVEF 58%, sinus rhythm, BNP 88 pg/ml | 1 year – NYHA class I |
| 5 | ASD closure, TV repair, RFA | 1 day | – | 8 days | LVEF 55%, sinus rhythm, BNP 430 pg/ml | 2.5 years – NYHA class I |
| ICU – Intensive Care Unit; RFA – radiofrequency ablation; SVEDD – systemic ventricular end-diastolic diameter. | ||||||