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Preoperative Evaluation

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Congenital Heart Disease in Pediatric and Adult Patients

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Abstract

Evaluation of the patient with congenital cardiac lesion consists of a complete understanding of the anatomical 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; this includes a sophisticated detailed preoperative evaluation.

In this chapter, the preoperative evaluation is discussed mainly under the following subtitles using sequential steps of a rational preoperative evaluation in patients with congenital cardiac disease:

  • Medical History.

  • Physical Examination.

  • Paraclinical Diagnostic Tests including chest radiography, electrocardiography; echocardiography, computerized tomography, cardiac magnetic resonance imaging (cMRI), cardiac catheterization & angiography, central nervous system assessment.

Scientific analysis of information gathered from medical history, physical examination, and diagnostic tests could guide the surgeon to choose the best management plan.

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Authors and Affiliations

  1. Cardiac Surgery Department, Modarres Hospital, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran

    Ramin Baghaei Tehrani

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  1. Ramin Baghaei Tehrani
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Editors and Affiliations

  1. Anesthesiology Research Center, Cardiac Anesthesiology Department, Faculty of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran

    Ali Dabbagh

  2. Department of Anesthesiology, Kaiser Permanente Los Angeles Medical Center, Los Angeles, CA, USA

    Antonio Hernandez Conte

  3. UCLA Department of Anesthesiology and Perioperative Medicine, Divisions of Congenital Cardiac Anesthesiology Adult Cardiac Anesthesiology and Pediatric Anesthesiology, The University of California, David Geffen School of Medicine UCLA Health System, Los Angeles, CA, USA

    Lorraine N. Lubin

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Baghaei Tehrani, R. (2023). Preoperative Evaluation. In: Dabbagh, A., Hernandez Conte, A., Lubin, L.N. (eds) Congenital Heart Disease in Pediatric and Adult Patients. Springer, Cham. https://doi.org/10.1007/978-3-031-10442-8_14

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  • DOI: https://doi.org/10.1007/978-3-031-10442-8_14

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