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3.2. Expertise for Noncardiac Surgery
COR LOE
Recommendations
1 B-NR
1. In patients with ACHD being considered for noncardiac
procedures, preprocedural involvement of an ACHD
cardiologist is recommended to risk-stratify the patient,
determine appropriate procedure location, guide
periprocedural planning and support, and assist in
preprocedural clinical optimization to improve outcomes.
1 B-NR
2. In patients with ACHD AP classifications IC–D, IIB–D,
and IIIA–D who undergo noncardiac procedures,
postprocedural care should involve collaboration with an
ACHD cardiologist to incorporate expert opinion, provide
guideline-based therapy, and improve outcomes.
1 C-LD
3. In patients with ACHD AP classifications IC–D, IIC–D,
and IIIA–D, anesthesia for noncardiac procedures should
be administered by, or in collaboration or consultation with,
an anesthesiologist with ACHD expertise to reduce the
likelihood of perioperative complications.
