Surgical intervention is often used in the management of heart failure in patients with adult congenital heart disease. This review addresses anatomic variations and complications due to prior surgical interventions, including sternal reentry, collateral vessels, and the neo-aortic root after the Damus-Kaye-Stansel procedure. Surgical considerations for systemic atrioventricular valvular surgery, Fontan revision, and advanced heart failure therapies including ventricular assist devices, heart transplant, and combined heart-liver transplant are discussed, with a focus on unique patient populations including those with systemic right ventricles and those with Fontan circulation.
Keyphrases
- heart failure
- congenital heart disease
- left ventricular
- atrial fibrillation
- minimally invasive
- randomized controlled trial
- cardiac resynchronization therapy
- acute heart failure
- total knee arthroplasty
- coronary artery
- coronary artery bypass
- risk factors
- percutaneous coronary intervention
- genetic diversity
- oral anticoagulants